Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $88.95 / $579.36	Facility		$26.72	$88.95	$579.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $16.19 / $31.33	Facility	26	$9.57	$16.19	$31.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.26 / $37.69 / $400.49	Facility	TC	$22.26	$37.69	$400.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $30.35 / $69.15	Professional		$24.28	$30.35	$69.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $8.82 / $31.93	Professional	26	$7.30	$8.82	$31.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $18.87 / $47.56	Professional	TC	$15.58	$18.87	$47.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $24.43 / $36.83	Professional		$19.30	$24.43	$36.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $7.98 / $11.38	Professional	26	$6.38	$7.98	$11.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $62.00 / $105.86	Facility		$14.95	$62.00	$105.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $24.29 / $30.36	Professional		$21.25	$24.29	$30.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $6.63 / $9.11	Professional	26	$5.80	$6.63	$9.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $17.66 / $22.07	Professional	TC	$15.45	$17.66	$22.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $233.08 / $328.28	Facility		$50.85	$233.08	$328.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.00 / $22.00 / $22.00	Facility	TC	$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $34.79 / $59.02	Professional		$23.42	$34.79	$59.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.37 / $18.27	Professional	26	$7.08	$10.37	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.17 / $42.15	Professional	TC	$16.32	$23.17	$42.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $34.50 / $94.32	Facility		$26.55	$34.50	$94.32
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $30.96 / $178.47	Professional		$25.61	$30.96	$178.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.34 / $77.59	Professional	26	$8.14	$9.34	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $21.16 / $163.00	Professional	TC	$17.14	$21.16	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $28.87 / $51.83	Professional		$25.61	$28.87	$51.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $9.02 / $15.84	Professional	26	$8.09	$9.02	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $19.85 / $35.99	Professional	TC	$17.00	$19.85	$35.99