Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.46 / $170.00 / $413.59	Facility		$34.46	$170.00	$413.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.26 / $17.45	Facility	26	$8.08	$10.26	$17.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.55 / $177.31 / $329.18	Facility	TC	$23.55	$177.31	$329.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $34.64 / $142.01	Professional		$27.63	$34.64	$142.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.93 / $34.85	Professional	26	$7.33	$9.93	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.55 / $65.45	Professional	TC	$19.14	$23.55	$65.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $25.90 / $53.65	Professional		$18.68	$25.90	$53.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $8.74 / $12.52	Professional	26	$6.18	$8.74	$12.52
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $22.26 / $22.26	Professional	TC	$20.32	$22.26	$22.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.54 / $57.73	Professional		$27.68	$34.54	$57.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.29 / $17.66	Professional	26	$8.66	$11.29	$17.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.02 / $24.08 / $40.07	Professional	TC	$19.02	$24.08	$40.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.59 / $84.19 / $247.79	Facility		$52.59	$84.19	$247.79
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 $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $39.69 / $63.70	Professional		$24.38	$39.69	$63.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.89 / $18.39	Professional	26	$7.25	$11.89	$18.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $28.51 / $47.69	Professional	TC	$17.80	$28.51	$47.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $45.33 / $96.19	Facility		$28.91	$45.33	$96.19
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 $51.52 / $110.49 / $110.49	Facility	TC	$51.52	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $40.96 / $208.83	Professional		$29.65	$40.96	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.11 / $82.56	Professional	26	$8.61	$12.11	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $29.57 / $176.00	Professional	TC	$20.73	$29.57	$176.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $55.33	Professional		$55.33	$55.33	$55.33
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $15.15 / $15.15	Professional	26	$15.15	$15.15	$15.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $35.00 / $59.91	Professional		$27.88	$35.00	$59.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.08 / $16.54	Professional	26	$8.39	$10.08	$16.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $25.77 / $43.20	Professional	TC	$20.46	$25.77	$43.20