Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $193.43 / $434.80	Facility		$32.00	$193.43	$434.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $10.86 / $16.64	Facility	26	$8.71	$10.86	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.47 / $122.71 / $241.20	Facility	TC	$21.47	$122.71	$241.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $36.82 / $40.27	Professional		$25.02	$36.82	$40.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.19 / $13.45	Professional	26	$7.23	$10.19	$13.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $26.42 / $28.99	Professional	TC	$17.79	$26.42	$28.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $39.51 / $43.78	Professional		$29.77	$39.51	$43.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.97 / $13.46	Professional	26	$7.98	$9.97	$13.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $30.06 / $43.36	Professional	TC	$29.56	$30.06	$43.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $69.25 / $101.39	Facility		$54.12	$69.25	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $36.40 / $49.98	Professional		$10.85	$36.40	$49.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $34.86 / $52.87	Facility		$28.96	$34.86	$52.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $10.08 / $16.12	Facility	26	$10.08	$10.08	$16.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.07 / $20.07 / $30.00	Facility	TC	$20.07	$20.07	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $33.61 / $55.16	Professional		$29.84	$33.61	$55.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $10.72 / $17.30	Professional	26	$9.43	$10.72	$17.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $24.05 / $38.32	Professional	TC	$19.73	$24.05	$38.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $45.33 / $187.60	Facility		$29.82	$45.33	$187.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $100.00 / $100.00	Facility	26	$25.22	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $131.69 / $171.52	Facility	TC	$61.48	$131.69	$171.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $43.05 / $254.22	Professional		$32.04	$43.05	$254.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $11.62 / $90.81	Professional	26	$10.05	$11.62	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $27.07 / $195.00	Professional	TC	$21.29	$27.07	$195.00
United Facility/Professional Facility Modifier Low / Median / High Price $123.65 / $123.65 / $139.10	Facility		$123.65	$123.65	$139.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $36.45 / $58.60	Professional		$30.09	$36.45	$58.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $10.97 / $17.57	Professional	26	$9.82	$10.97	$17.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $25.72 / $40.60	Professional	TC	$20.30	$25.72	$40.60