Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $266.25 / $543.90	Facility		$44.73	$266.25	$543.90
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 $32.34 / $115.44 / $380.57	Facility	TC	$32.34	$115.44	$380.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $35.00 / $59.62	Professional		$15.20	$35.00	$59.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.53 / $22.80	Professional	26	$7.33	$9.53	$22.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.80 / $48.80 / $71.00	Professional	50	$48.80	$48.80	$71.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $26.91 / $48.80	Professional	TC	$21.64	$26.91	$48.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $27.73 / $61.24	Professional		$25.89	$27.73	$61.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $6.49 / $8.88	Professional	26	$6.18	$6.49	$8.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $32.99 / $49.49	Professional	TC	$28.04	$32.99	$49.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.88 / $136.59 / $461.36	Facility		$99.88	$136.59	$461.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Professional		$49.09	$49.09	$49.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.21 / $112.50 / $241.75	Facility		$50.21	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $44.33 / $66.16	Professional		$25.33	$44.33	$66.16
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 $18.55 / $31.97 / $55.46	Professional	TC	$18.55	$31.97	$55.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $42.28 / $79.34	Facility		$35.00	$42.28	$79.34
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 $61.48 / $131.69 / $416.00	Facility	TC	$61.48	$131.69	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $38.90 / $234.86	Professional		$29.96	$38.90	$234.86
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 $21.65 / $28.99 / $181.68	Professional	TC	$21.65	$28.99	$181.68
United Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $84.95 / $177.49	Facility		$49.03	$84.95	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $35.36 / $58.18	Professional		$29.96	$35.36	$58.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.23 / $15.33	Professional	26	$8.31	$9.23	$15.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $26.04 / $44.80	Professional	TC	$21.65	$26.04	$44.80