Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $228.49 / $554.22	Facility		$50.59	$228.49	$554.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $9.94 / $15.55	Facility	26	$8.41	$9.94	$15.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $36.88 / $103.28 / $380.57	Facility	TC	$36.88	$103.28	$380.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $38.75 / $67.95	Professional		$13.04	$38.75	$67.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $9.53 / $14.93	Professional	26	$7.63	$9.53	$14.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.81 / $80.81 / $80.81	Professional	50	$80.81	$80.81	$80.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.61 / $43.67	Professional	TC	$25.37	$31.61	$43.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $32.47 / $67.75	Professional		$29.30	$32.47	$67.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $6.21 / $8.88	Professional	26	$6.18	$6.21	$8.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.92 / $37.56 / $37.56	Professional	TC	$31.92	$37.56	$37.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $143.10 / $470.51	Facility		$104.64	$143.10	$470.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $52.96 / $52.96	Professional		$52.96	$52.96	$52.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $112.50 / $241.75	Facility		$57.22	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $49.07 / $73.19	Professional		$28.76	$49.07	$73.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $12.08 / $15.64	Professional	26	$6.98	$12.08	$15.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $38.06 / $63.20	Professional	TC	$21.26	$38.06	$63.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $46.82 / $92.53	Facility		$38.75	$46.82	$92.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $100.00	Facility	26	$19.60	$19.60	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $70.01 / $149.85 / $424.82	Facility	TC	$70.01	$149.85	$424.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $43.27 / $263.06	Professional		$31.79	$43.27	$263.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.82 / $67.70	Professional	26	$8.31	$10.82	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $33.35 / $209.88	Professional	TC	$23.48	$33.35	$209.88
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Facility		$117.00	$117.00	$117.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $39.13 / $63.92	Professional		$31.79	$39.13	$63.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.61 / $16.37	Professional	26	$8.31	$9.61	$16.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $29.95 / $48.51	Professional	TC	$23.48	$29.95	$48.51