Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $76.38 / $422.10	Facility		$37.27	$76.38	$422.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.15 / $20.76 / $68.54	Facility	26	$11.15	$20.76	$68.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.85 / $94.79 / $329.97	Facility	TC	$32.85	$94.79	$329.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $45.02 / $152.00	Professional		$34.07	$45.02	$152.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $11.47 / $36.90	Professional	26	$9.35	$11.47	$36.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $30.71 / $56.73	Professional	TC	$23.87	$30.71	$56.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $31.99 / $39.51	Professional		$25.73	$31.99	$39.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $12.38 / $18.97	Professional	26	$8.18	$12.38	$18.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $27.40 / $34.25	Professional	TC	$20.55	$27.40	$34.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $78.73 / $130.99	Facility		$21.81	$78.73	$130.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $34.54 / $43.19	Professional		$30.23	$34.54	$43.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.50 / $11.91	Professional	26	$7.44	$8.50	$11.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $26.05 / $32.56	Professional	TC	$22.79	$26.05	$32.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $189.46 / $247.64	Facility		$75.20	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $45.22 / $75.43	Professional		$30.97	$45.22	$75.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $12.85 / $23.25	Professional	26	$9.08	$12.85	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $30.69 / $55.41	Professional	TC	$21.75	$30.69	$55.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $45.16 / $117.51	Facility		$37.61	$45.16	$117.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $131.69 / $131.69 / $131.69	Facility	TC	$131.69	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $40.33 / $254.22	Professional		$33.42	$40.33	$254.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.84 / $90.81	Professional	26	$10.23	$11.84	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.18 / $28.93 / $195.00	Professional	TC	$23.18	$28.93	$195.00
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $195.48	Facility		$80.90	$80.90	$195.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $38.61 / $65.63	Professional		$33.38	$38.61	$65.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.55 / $21.18	Professional	26	$10.23	$11.55	$21.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $27.07 / $44.24	Professional	TC	$23.01	$27.07	$44.24