Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $478.63	Facility		$54.95	$151.36	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $42.66 / $83.18	Facility	26	$12.02	$42.66	$83.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $79.43 / $239.88	Facility	TC	$26.30	$79.43	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $125.89	Professional		$26.92	$43.65	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $43.65	Professional	26	$8.91	$13.80	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.20 / $67.61	Professional	TC	$17.78	$30.20	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $39.81	Professional		$21.38	$26.30	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $16.22	Professional	26	$7.59	$9.55	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $17.78 / $33.11	Professional	TC	$14.13	$17.78	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $60.26 / $85.11	Facility		$16.22	$60.26	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $60.26	Professional		$26.30	$33.88	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $18.62	Professional	26	$8.13	$11.48	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $41.69	Professional	TC	$18.20	$22.91	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $208.93 / $269.15	Facility		$32.36	$208.93	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.37 / $25.12 / $36.31	Facility	TC	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $64.57	Professional		$26.30	$36.31	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $22.39	Professional	26	$8.71	$12.88	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $45.71	Professional	TC	$17.38	$23.44	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $331.13	Facility		$30.90	$44.67	$331.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $70.79 / $70.79	Facility	26	$24.55	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $107.15 / $107.15	Facility	TC	$48.98	$107.15	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $213.80	Professional		$29.51	$33.88	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.49 / $66.07	Professional	26	$10.47	$13.49	$66.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.88 / $147.91	Professional	TC	$18.62	$21.88	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $75.86 / $95.50	Facility		$12.59	$75.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $48.98	Professional		$29.51	$33.11	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.22 / $17.78	Professional	26	$10.23	$11.22	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $21.88 / $32.36	Professional	TC	$18.62	$21.88	$32.36