Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $229.09 / $446.68	Facility		$44.67	$229.09	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $11.48 / $16.60	Facility	26	$7.94	$11.48	$16.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $79.43 / $251.19	Facility	TC	$21.38	$79.43	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $79.43	Professional		$30.20	$40.74	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $26.30	Professional	26	$7.94	$10.96	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $50.12	Professional	TC	$21.38	$28.18	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $48.98	Professional		$24.55	$30.90	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $16.60	Professional	26	$7.94	$10.47	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $41.69	Professional	TC	$21.38	$26.92	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $102.33	Facility		$51.29	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $50.12	Professional		$10.96	$36.31	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $112.20	Facility		$28.84	$28.84	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $16.22	Facility	26	$10.00	$10.00	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $19.95 / $30.20	Facility	TC	$19.95	$19.95	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $60.26	Professional		$29.51	$35.48	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.96 / $18.20	Professional	26	$9.33	$10.96	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $24.55 / $39.81	Professional	TC	$18.20	$24.55	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $251.19	Facility		$30.20	$48.98	$251.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $131.83 / $169.82	Facility	TC	$61.66	$131.83	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $257.04	Professional		$32.36	$41.69	$257.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $91.20	Professional	26	$10.00	$12.02	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $27.54 / $194.98	Professional	TC	$20.89	$27.54	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $67.61 / $213.80	Facility		$24.55	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $56.23	Professional		$30.20	$36.31	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.96 / $17.38	Professional	26	$9.55	$10.96	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.70 / $38.90	Professional	TC	$20.42	$25.70	$38.90