Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $234.42 / $537.03	Facility		$23.44	$234.42	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $10.47 / $13.18	Facility	26	$6.03	$10.47	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.45 / $30.90 / $398.11	Facility	TC	$14.45	$30.90	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $60.26	Professional		$20.89	$28.18	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $21.38	Professional	26	$6.03	$8.13	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.05 / $34.67	Professional	TC	$14.13	$19.05	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $35.48	Professional		$17.78	$22.39	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.13 / $13.18	Professional	26	$6.17	$8.13	$13.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.95 / $28.18	Professional	TC	$14.45	$19.95	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $102.33	Facility		$51.29	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $25.70 / $35.48	Professional		$8.32	$25.70	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $138.04	Facility		$19.50	$19.50	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $7.76 / $12.88	Facility	26	$7.76	$7.76	$12.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.49 / $13.49 / $25.70	Facility	TC	$13.49	$13.49	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $48.98	Professional		$20.89	$28.18	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.71 / $15.85	Professional	26	$7.24	$8.71	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $32.36	Professional	TC	$13.18	$18.62	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $223.87	Facility		$21.38	$36.31	$223.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $41.69 / $100.00 / $162.18	Facility	TC	$41.69	$100.00	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $177.83	Professional		$24.55	$31.62	$177.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $77.62	Professional	26	$7.76	$9.55	$77.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.42 / $162.18	Professional	TC	$16.60	$20.42	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $81.28 / $257.04	Facility		$16.60	$81.28	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $41.69	Professional		$23.44	$27.54	$41.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.51 / $13.49	Professional	26	$7.59	$8.51	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $28.18	Professional	TC	$15.49	$19.05	$28.18