Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $223.05 / $515.34	Facility		$37.09	$223.05	$515.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $9.38 / $14.35	Facility	26	$7.75	$9.38	$14.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.81 / $47.76 / $364.85	Facility	TC	$26.81	$47.76	$364.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $29.97 / $37.88	Professional		$11.70	$29.97	$37.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.77 / $14.88	Professional	26	$7.33	$8.77	$14.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.53 / $36.27	Professional	TC	$17.57	$22.53	$36.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $26.98	Professional		$22.47	$22.47	$26.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $5.77 / $8.18	Professional	26	$5.69	$5.77	$8.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.18 / $38.81 / $38.81	Professional	TC	$23.18	$38.81	$38.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $141.82 / $336.44	Facility		$103.95	$141.82	$336.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $47.59 / $47.59	Professional		$47.59	$47.59	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $112.50 / $241.75	Facility		$42.04	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $37.36 / $56.18	Professional		$21.00	$37.36	$56.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $11.09 / $15.00	Professional	26	$6.98	$11.09	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $28.12 / $46.43	Professional	TC	$15.50	$28.12	$46.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $36.46 / $67.23	Facility		$29.97	$36.46	$67.23
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 $50.81 / $109.00 / $336.67	Facility	TC	$50.81	$109.00	$336.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $35.47 / $202.34	Professional		$27.40	$35.47	$202.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.36 / $75.00	Professional	26	$8.30	$10.36	$75.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $25.41 / $163.00	Professional	TC	$19.09	$25.41	$163.00
United Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $87.75 / $87.75	Facility		$87.75	$87.75	$87.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $30.92 / $49.66	Professional		$27.40	$30.92	$49.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $9.13 / $14.55	Professional	26	$8.28	$9.13	$14.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $22.46 / $36.38	Professional	TC	$19.09	$22.46	$36.38