Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $118.10 / $433.71	Facility		$21.26	$118.10	$433.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.79 / $8.91 / $13.09	Facility	26	$6.79	$8.91	$13.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.47 / $25.60 / $343.01	Facility	TC	$14.47	$25.60	$343.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $26.06 / $30.60	Professional		$17.71	$26.06	$30.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.02 / $11.05	Professional	26	$5.67	$8.02	$11.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $17.93 / $20.38	Professional	TC	$12.04	$17.93	$20.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $42.34	Professional		$30.95	$30.95	$42.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $7.70 / $10.50	Professional	26	$6.22	$7.70	$10.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $69.98 / $101.39	Facility		$52.11	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $25.55 / $35.08	Professional		$8.40	$25.55	$35.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $30.13 / $45.70	Facility		$19.64	$30.13	$45.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.54 / $13.54 / $25.68	Facility	TC	$13.54	$13.54	$25.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $24.95 / $39.40	Professional		$21.32	$24.95	$39.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $8.36 / $13.74	Professional	26	$7.38	$8.36	$13.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $16.70 / $26.88	Professional	TC	$13.32	$16.70	$26.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $36.42 / $109.27	Facility		$21.01	$36.42	$109.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $41.54 / $100.00 / $163.07	Facility	TC	$41.54	$100.00	$163.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $31.85 / $178.47	Professional		$24.54	$31.85	$178.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.46 / $77.59	Professional	26	$7.85	$9.46	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $21.06 / $163.00	Professional	TC	$15.88	$21.06	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $27.43 / $43.84	Professional		$23.75	$27.43	$43.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.57 / $13.79	Professional	26	$7.67	$8.57	$13.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $18.95 / $29.78	Professional	TC	$15.58	$18.95	$29.78