Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $199.33 / $508.82	Facility		$44.98	$199.33	$508.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.35 / $8.46 / $13.06	Facility	26	$8.35	$8.46	$13.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.22 / $185.62 / $272.70	Facility	TC	$17.22	$185.62	$272.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $29.80 / $33.84	Professional		$21.40	$29.80	$33.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.88 / $11.15	Professional	26	$7.02	$9.88	$11.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $19.66 / $23.28	Professional	TC	$14.38	$19.66	$23.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $29.83 / $47.28	Professional		$24.09	$29.83	$47.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $9.68 / $13.07	Professional	26	$7.73	$9.68	$13.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $24.18 / $30.23	Professional	TC	$23.78	$24.18	$30.23
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 $10.50 / $31.15 / $42.77	Professional		$10.50	$31.15	$42.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $23.30 / $113.07	Facility		$23.30	$23.30	$113.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.61 / $16.61 / $16.61	Facility	26	$16.61	$16.61	$16.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.43 / $26.43 / $26.43	Facility	TC	$26.43	$26.43	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $28.79 / $43.34	Professional		$23.34	$28.79	$43.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.27 / $15.64	Professional	26	$8.69	$10.27	$15.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.65 / $18.68 / $29.27	Professional	TC	$14.65	$18.68	$29.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $52.26 / $256.00	Facility		$25.37	$52.26	$256.00
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 $98.53 / $105.96 / $152.05	Facility	TC	$98.53	$105.96	$152.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $32.59 / $215.20	Professional		$26.76	$32.59	$215.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.75 / $66.04	Professional	26	$9.56	$11.75	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.91 / $149.15	Professional	TC	$16.55	$20.91	$149.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $31.54 / $50.59	Professional		$26.56	$31.54	$50.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $11.07 / $17.89	Professional	26	$9.51	$11.07	$17.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.84 / $33.01	Professional	TC	$16.55	$20.84	$33.01