Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $229.09	Facility		$7.24	$12.02	$229.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.30 / $16.98	Facility	26	$7.94	$12.30	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $32.36	Professional		$9.77	$12.88	$32.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $21.38	Professional	26	$6.03	$7.94	$21.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $12.30 / $12.30 / $29.51	Professional	50	$12.30	$12.30	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $3.02 / $6.03	Professional	TC	$2.69	$3.02	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.55 / $14.79	Professional		$8.71	$9.55	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $13.80	Professional	26	$7.59	$9.33	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $46.77	Facility		$20.89	$30.90	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $30.20 / $64.57	Facility		$11.22	$30.20	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $22.39	Professional		$9.55	$14.79	$22.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.00 / $16.98	Professional	26	$6.76	$10.00	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.90 / $8.13	Professional	TC	$3.02	$4.90	$8.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.45 / $27.54	Facility		$10.96	$14.45	$27.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $100.00	Facility	26	$17.78	$17.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $1,412.54	Professional		$12.02	$15.85	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.96 / $1,288.25	Professional	26	$8.13	$10.96	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $4.79 / $977.24	Professional	TC	$3.31	$4.79	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $18.62 / $36.31	Facility		$9.12	$18.62	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $20.89	Professional		$12.02	$13.49	$20.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $14.79	Professional	26	$8.13	$9.77	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.17 / $6.31	Professional	TC	$3.02	$4.17	$6.31