Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $88.29 / $547.86	Facility		$39.64	$88.29	$547.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.26 / $21.48 / $45.56	Facility	26	$12.26	$21.48	$45.56
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $39.64 / $160.35 / $427.22	Facility	TC	$39.64	$160.35	$427.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $45.77 / $157.00	Professional		$34.94	$45.77	$157.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $11.82 / $42.00	Professional	26	$9.57	$11.82	$42.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $32.61 / $60.63	Professional	TC	$24.54	$32.61	$60.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $34.61 / $52.68	Professional		$27.27	$34.61	$52.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.23 / $14.32	Professional	26	$8.18	$10.23	$14.32
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 $22.06 / $80.98 / $131.22	Facility		$22.06	$80.98	$131.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $34.54 / $43.56	Professional		$30.23	$34.54	$43.56
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 $80.73 / $233.08 / $328.28	Facility		$80.73	$233.08	$328.28
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 $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $45.80 / $76.11	Professional		$31.82	$45.80	$76.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $13.25 / $23.25	Professional	26	$9.08	$13.25	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $31.53 / $56.38	Professional	TC	$23.08	$31.53	$56.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $47.76 / $133.82	Facility		$37.63	$47.76	$133.82
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 $35.35 / $40.65 / $256.38	Professional		$35.35	$40.65	$256.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.84 / $82.56	Professional	26	$10.24	$11.84	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $28.14 / $211.00	Professional	TC	$24.90	$28.14	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $38.61 / $70.81	Professional		$35.35	$38.61	$70.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.55 / $19.45	Professional	26	$10.24	$11.55	$19.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $27.07 / $47.03	Professional	TC	$24.05	$27.07	$47.03