Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $225.12 / $501.97	Facility		$57.30	$225.12	$501.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $13.46 / $24.97	Facility	26	$10.77	$13.46	$24.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.04 / $135.25 / $350.67	Facility	TC	$41.04	$135.25	$350.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $45.15 / $80.73	Professional		$15.45	$45.15	$80.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.11 / $19.12	Professional	26	$10.02	$11.11	$19.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $35.15 / $59.69	Professional	TC	$27.55	$35.15	$59.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $78.33	Professional		$33.86	$33.86	$78.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.02 / $11.42	Professional	26	$7.94	$8.02	$11.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $42.13 / $59.96	Professional	TC	$28.00	$42.13	$59.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $172.81 / $646.16	Facility		$126.68	$172.81	$646.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $59.43 / $59.43	Professional		$59.43	$59.43	$59.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $112.65 / $241.75	Facility		$63.64	$112.65	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $58.68 / $84.47	Professional		$33.97	$58.68	$84.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.92 / $15.53 / $20.00	Professional	26	$8.92	$15.53	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $42.79 / $70.30	Professional	TC	$24.36	$42.79	$70.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $56.36 / $101.59	Facility		$44.46	$56.36	$101.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $70.00	Facility	26	$25.22	$25.22	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $78.56 / $78.56 / $437.94	Facility	TC	$78.56	$78.56	$437.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $51.18 / $301.95	Professional		$42.83	$51.18	$301.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $13.69 / $68.20	Professional	26	$11.52	$13.69	$68.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $37.70 / $233.75	Professional	TC	$30.76	$37.70	$233.75
United Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $132.30 / $132.30	Facility		$132.30	$132.30	$132.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $47.36 / $85.54	Professional		$42.31	$47.36	$85.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $12.71 / $19.64	Professional	26	$11.41	$12.71	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $34.28 / $56.70	Professional	TC	$30.76	$34.28	$56.70