Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $244.51 / $371.77	Facility		$25.12	$244.51	$371.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.36 / $16.64	Facility	26	$7.90	$10.36	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.22 / $176.70 / $310.33	Facility	TC	$17.22	$176.70	$310.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $30.70 / $34.14	Professional		$20.73	$30.70	$34.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $9.27 / $11.36	Professional	26	$6.57	$9.27	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $21.27 / $23.80	Professional	TC	$14.17	$21.27	$23.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $29.19 / $48.38	Professional		$24.81	$29.19	$48.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.03 / $15.33	Professional	26	$7.23	$9.03	$15.33
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 $51.38 / $69.25 / $101.39	Facility		$51.38	$69.25	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $30.10 / $41.33	Professional		$9.80	$30.10	$41.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $37.11 / $56.25	Facility		$23.30	$37.11	$56.25
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 $17.75 / $17.75 / $32.42	Facility	TC	$17.75	$17.75	$32.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $29.53 / $47.16	Professional		$25.86	$29.53	$47.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $10.36 / $16.05	Professional	26	$8.58	$10.36	$16.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $19.34 / $32.64	Professional	TC	$16.80	$19.34	$32.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $42.33 / $109.27	Facility		$25.12	$42.33	$109.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.84 / $100.00 / $100.00	Facility	26	$22.84	$100.00	$100.00
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 $27.94 / $38.31 / $218.00	Professional		$27.94	$38.31	$218.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.31 / $87.52	Professional	26	$9.11	$11.31	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $24.64 / $206.00	Professional	TC	$18.39	$24.64	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $34.86 / $49.15	Professional		$27.27	$34.86	$49.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $10.23 / $16.34	Professional	26	$8.38	$10.23	$16.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $21.92 / $34.75	Professional	TC	$17.32	$21.92	$34.75