Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $211.09 / $540.95	Facility		$41.81	$211.09	$540.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $12.56 / $20.99	Facility	26	$8.76	$12.56	$20.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.44 / $53.72 / $301.67	Facility	TC	$30.44	$53.72	$301.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $34.79 / $49.98	Professional		$25.17	$34.79	$49.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $8.76 / $14.15	Professional	26	$8.42	$8.76	$14.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $26.13 / $43.83	Professional	TC	$20.96	$26.13	$43.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $28.18 / $28.18	Professional		$25.33	$28.18	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.47 / $9.26	Professional	26	$6.44	$6.47	$9.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.71 / $43.70 / $43.70	Professional	TC	$30.71	$43.70	$43.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $45.97 / $45.97	Professional		$45.97	$45.97	$45.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $112.50 / $241.75	Facility		$47.29	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $43.48 / $63.27	Professional		$26.03	$43.48	$63.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $12.57 / $16.87	Professional	26	$7.54	$12.57	$16.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $32.68 / $52.24	Professional	TC	$18.55	$32.68	$52.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $44.20 / $80.87	Facility		$33.76	$44.20	$80.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $20.47 / $70.00	Facility	26	$20.47	$20.47	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.20 / $57.20 / $122.62	Facility	TC	$57.20	$57.20	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $39.43 / $226.14	Professional		$33.61	$39.43	$226.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.20 / $55.28	Professional	26	$9.36	$11.20	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.20 / $170.86	Professional	TC	$23.44	$28.20	$170.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $36.97 / $59.52	Professional		$33.26	$36.97	$59.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $10.18 / $15.95	Professional	26	$9.36	$10.18	$15.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $25.78 / $42.12	Professional	TC	$23.44	$25.78	$42.12