Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $244.51 / $463.58	Facility		$33.47	$244.51	$463.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.60 / $9.58 / $16.64	Facility	26	$8.60	$9.58	$16.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.80 / $233.33 / $310.33	Facility	TC	$21.80	$233.33	$310.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $37.11 / $41.51	Professional		$25.23	$37.11	$41.51
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 $18.00 / $26.73 / $30.16	Professional	TC	$18.00	$26.73	$30.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $39.51 / $53.87	Professional		$35.02	$39.51	$53.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.90 / $13.46	Professional	26	$7.98	$9.90	$13.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $30.06 / $35.74	Professional	TC	$29.56	$30.06	$35.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $66.06 / $101.39	Facility		$50.27	$66.06	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $36.75 / $50.46	Professional		$11.32	$36.75	$50.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $38.22 / $60.35	Facility		$29.29	$38.22	$60.35
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 $21.54 / $21.54 / $33.39	Facility	TC	$21.54	$21.54	$33.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $33.61 / $55.58	Professional		$29.84	$33.61	$55.58
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 $20.38 / $23.57 / $37.34	Professional	TC	$20.38	$23.57	$37.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $48.40 / $198.75	Facility		$30.44	$48.40	$198.75
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 / $237.13	Facility	TC	$61.48	$131.69	$237.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $44.41 / $256.38	Professional		$32.44	$44.41	$256.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $11.82 / $82.56	Professional	26	$10.05	$11.82	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $28.07 / $211.00	Professional	TC	$21.29	$28.07	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.28 / $59.57	Professional		$30.90	$38.28	$59.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $10.97 / $18.48	Professional	26	$9.82	$10.97	$18.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $27.07 / $40.69	Professional	TC	$20.71	$27.07	$40.69