Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $99.96 / $563.40	Facility		$34.15	$99.96	$563.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.81 / $20.13 / $72.00	Facility	26	$10.81	$20.13	$72.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.02 / $85.00 / $345.68	Facility	TC	$30.02	$85.00	$345.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $37.15 / $125.44	Professional		$27.58	$37.15	$125.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $12.17 / $44.00	Professional	26	$9.36	$12.17	$44.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $24.02 / $46.83	Professional	TC	$17.92	$24.02	$46.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $29.39 / $33.27	Professional		$20.77	$29.39	$33.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $9.92 / $23.67	Professional	26	$7.89	$9.92	$23.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $22.04 / $27.55	Professional	TC	$16.53	$22.04	$27.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $63.35 / $105.57	Facility		$18.14	$63.35	$105.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $30.25 / $37.81	Professional		$26.47	$30.25	$37.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.30 / $11.62	Professional	26	$8.13	$9.30	$11.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $20.95 / $26.19	Professional	TC	$18.32	$20.95	$26.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.53 / $214.77 / $247.64	Facility		$150.53	$214.77	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $37.45 / $59.85	Professional		$27.30	$37.45	$59.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $13.11 / $21.44	Professional	26	$8.80	$13.11	$21.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $23.81 / $40.70	Professional	TC	$18.19	$23.81	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $41.54 / $327.99	Facility		$31.36	$41.54	$327.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $70.00 / $70.00	Facility	26	$24.59	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $105.96 / $105.96	Facility	TC	$49.38	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $33.20 / $215.20	Professional		$29.27	$33.20	$215.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $11.78 / $66.04	Professional	26	$10.55	$11.78	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $22.01 / $149.15	Professional	TC	$18.72	$22.01	$149.15
United Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $33.20 / $61.91	Professional		$29.27	$33.20	$61.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $11.19 / $22.33	Professional	26	$10.53	$11.19	$22.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $22.01 / $46.88	Professional	TC	$18.72	$22.01	$46.88