Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $239.02 / $494.70	Facility		$33.54	$239.02	$494.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $9.15 / $12.51	Facility	26	$7.75	$9.15	$12.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.39 / $43.76 / $322.00	Facility	TC	$24.39	$43.76	$322.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $28.64 / $49.30	Professional		$19.92	$28.64	$49.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.77 / $13.43	Professional	26	$7.03	$8.77	$13.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.97 / $28.89	Professional	TC	$18.21	$20.97	$28.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $48.17 / $48.17	Professional		$20.83	$48.17	$48.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $5.73 / $8.18	Professional	26	$5.69	$5.73	$8.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $24.61 / $24.61	Professional	TC	$20.92	$24.61	$24.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $124.51 / $382.91	Facility		$91.05	$124.51	$382.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Professional		$44.22	$44.22	$44.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $112.50 / $241.75	Facility		$37.95	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $36.40 / $52.08	Professional		$19.48	$36.40	$52.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $11.09 / $15.00	Professional	26	$6.42	$11.09	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.46 / $27.74 / $41.92	Professional	TC	$15.46	$27.74	$41.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $36.11 / $67.72	Facility		$28.34	$36.11	$67.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $18.09 / $100.00	Facility	26	$18.09	$18.09	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $100.00 / $328.61	Facility	TC	$45.82	$100.00	$328.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $33.72 / $187.12	Professional		$27.02	$33.72	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $10.26 / $64.39	Professional	26	$7.56	$10.26	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.69 / $161.00	Professional	TC	$19.46	$23.69	$161.00
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $173.16 / $177.49	Facility		$84.95	$173.16	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $29.72 / $51.97	Professional		$27.02	$29.72	$51.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $8.85 / $14.72	Professional	26	$7.56	$8.85	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $21.40 / $34.97	Professional	TC	$19.46	$21.40	$34.97