Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $186.21 / $588.84	Facility		$37.15	$186.21	$588.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $12.02 / $12.88	Facility	26	$6.03	$12.02	$12.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $31.62 / $239.88	Facility	TC	$18.20	$31.62	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $61.66	Professional		$23.99	$32.36	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $19.95	Professional	26	$6.03	$8.13	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $38.90	Professional	TC	$16.98	$22.91	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $47.86	Professional		$20.42	$24.55	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.13 / $14.45	Professional	26	$6.31	$8.13	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $29.51	Professional	TC	$17.78	$24.55	$29.51
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 / $29.51 / $40.74	Professional		$8.32	$29.51	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $112.20	Facility		$24.55	$24.55	$112.20
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 $16.22 / $16.22 / $28.84	Facility	TC	$16.22	$16.22	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $52.48	Professional		$22.39	$28.84	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.51 / $14.45	Professional	26	$6.76	$8.51	$14.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.95 / $35.48	Professional	TC	$15.14	$19.95	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $208.93	Facility		$24.55	$39.81	$208.93
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 $51.29 / $109.65 / $109.65	Facility	TC	$51.29	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $208.93	Professional		$26.30	$34.67	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $83.18	Professional	26	$7.59	$9.33	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $177.83	Professional	TC	$17.38	$23.44	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $67.61 / $213.80	Facility		$19.05	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $44.67	Professional		$24.55	$30.20	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.51 / $12.88	Professional	26	$7.41	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.38 / $32.36	Professional	TC	$16.98	$21.38	$32.36