Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $213.70 / $646.88	Facility		$31.13	$213.70	$646.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.99 / $7.08 / $10.93	Facility	26	$6.99	$7.08	$10.93
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.72 / $188.02 / $251.11	Facility	TC	$12.72	$188.02	$251.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $21.06 / $26.11	Professional		$16.45	$21.06	$26.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.16 / $10.82	Professional	26	$5.90	$8.16	$10.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $12.72 / $17.23	Professional	TC	$10.55	$12.72	$17.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $29.98	Professional		$25.90	$25.90	$29.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $6.89 / $10.94	Professional	26	$6.45	$6.89	$10.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $69.98 / $101.39	Facility		$52.11	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $23.80 / $32.68	Professional		$8.75	$23.80	$32.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $113.07	Facility		$17.30	$17.30	$113.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.85 / $13.85 / $13.85	Facility	26	$13.85	$13.85	$13.85
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.30 / $14.30 / $14.30	Facility	TC	$14.30	$14.30	$14.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.14 / $33.50	Professional		$16.14	$22.14	$33.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $8.60 / $13.08	Professional	26	$7.27	$8.60	$13.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $13.48 / $21.73	Professional	TC	$8.66	$13.48	$21.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $40.02 / $201.36	Facility		$19.55	$40.02	$201.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $78.72 / $78.72 / $140.03	Facility	TC	$78.72	$78.72	$140.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $24.68 / $165.42	Professional		$19.48	$24.68	$165.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $10.09 / $55.28	Professional	26	$7.99	$10.09	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $15.77 / $110.07	Professional	TC	$10.11	$15.77	$110.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $24.08 / $38.97	Professional		$17.57	$24.08	$38.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.82 / $14.30	Professional	26	$7.97	$9.82	$14.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.02 / $14.94 / $24.53	Professional	TC	$9.02	$14.94	$24.53