Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $56.18 / $211.31	Facility		$23.28	$56.18	$211.31
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $12.08 / $18.63	Facility	26	$7.08	$12.08	$18.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.22 / $29.45 / $211.31	Facility	TC	$20.22	$29.45	$211.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $33.36 / $37.21	Professional		$22.62	$33.36	$37.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.34 / $12.41	Professional	26	$5.90	$8.34	$12.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $24.91 / $27.31	Professional	TC	$16.72	$24.91	$27.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.48 / $10.94	Professional	26	$6.48	$6.48	$10.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.69 / $30.69 / $30.69	Professional	TC	$30.69	$30.69	$30.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $69.98 / $101.39	Facility		$50.27	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $32.90 / $45.18	Professional		$9.19	$32.90	$45.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $35.43 / $53.73	Facility		$27.30	$35.43	$53.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $10.77 / $17.73	Facility	26	$10.77	$10.77	$17.73
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.92 / $18.92 / $30.97	Facility	TC	$18.92	$18.92	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $31.90 / $53.65	Professional		$28.42	$31.90	$53.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $11.01 / $17.57	Professional	26	$7.78	$11.01	$17.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $22.10 / $35.53	Professional	TC	$18.27	$22.10	$35.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $46.88 / $109.27	Facility		$27.30	$46.88	$109.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $100.00 / $100.00	Facility	26	$20.47	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $124.11 / $124.11	Facility	TC	$57.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $40.85 / $230.47	Professional		$31.40	$40.85	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.81 / $77.59	Professional	26	$9.11	$11.81	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $25.62 / $214.00	Professional	TC	$20.49	$25.62	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $168.16 / $265.95	Facility		$46.88	$168.16	$265.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $36.00 / $61.67	Professional		$30.80	$36.00	$61.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.00 / $16.71	Professional	26	$9.11	$11.00	$16.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $24.59 / $40.71	Professional	TC	$19.85	$24.59	$40.71