Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $16.22 / $245.47	Facility		$5.13	$16.22	$245.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $9.33 / $57.54	Facility	26	$6.03	$9.33	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $26.92	Professional		$8.91	$12.88	$26.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $16.22	Professional	26	$6.03	$7.94	$16.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	50	$12.30	$12.30	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.02 / $5.89	Professional	TC	$2.00	$3.02	$5.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.91 / $14.79	Professional		$8.51	$8.91	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Professional	26	$10.00	$10.00	$10.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $27.54	Facility		$14.13	$20.42	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $14.79	Professional		$7.76	$10.96	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $31.62	Facility		$3.63	$3.63	$31.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $13.80	Facility	26	$8.13	$8.13	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $20.42	Professional		$9.77	$12.59	$20.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $14.79	Professional	26	$6.61	$8.71	$14.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.72 / $7.08	Professional	TC	$2.82	$3.72	$7.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.49 / $61.66	Facility		$9.33	$15.49	$61.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $100.00 / $100.00	Facility	26	$17.78	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $1,412.54	Professional		$10.96	$13.80	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $1,288.25	Professional	26	$7.08	$9.55	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.37 / $977.24	Professional	TC	$3.39	$4.37	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $43.65 / $70.79	Facility		$12.59	$43.65	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $18.20	Professional		$10.23	$13.49	$18.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $12.59	Professional	26	$7.08	$8.71	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $3.98 / $5.50	Professional	TC	$3.31	$3.98	$5.50