Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $83.99 / $392.04	Facility		$34.54	$83.99	$392.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.80 / $9.32 / $12.65	Facility	26	$6.80	$9.32	$12.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.30 / $31.68 / $251.11	Facility	TC	$18.30	$31.68	$251.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $29.48 / $32.83	Professional		$20.48	$29.48	$32.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $7.78 / $8.55	Professional	26	$5.67	$7.78	$8.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $21.69 / $24.29	Professional	TC	$14.81	$21.69	$24.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.37 / $13.17	Professional	26	$6.22	$6.37	$13.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $24.79 / $24.79	Professional	TC	$24.79	$24.79	$24.79
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 / $29.75 / $40.85	Professional		$8.40	$29.75	$40.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $33.20 / $50.34	Facility		$24.30	$33.20	$50.34
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 $16.29 / $16.29 / $28.54	Facility	TC	$16.29	$16.29	$28.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.64 / $43.24	Professional		$23.44	$27.64	$43.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.25 / $12.56	Professional	26	$6.98	$8.25	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $19.20 / $30.52	Professional	TC	$15.65	$19.20	$30.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $37.04 / $68.28	Facility		$24.47	$37.04	$68.28
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 $26.36 / $35.99 / $208.83	Professional		$26.36	$35.99	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.32 / $82.56	Professional	26	$7.67	$9.32	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $22.74 / $176.00	Professional	TC	$17.39	$22.74	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $30.70 / $48.65	Professional		$24.45	$30.70	$48.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $8.55 / $13.53	Professional	26	$7.45	$8.55	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $21.60 / $34.11	Professional	TC	$16.53	$21.60	$34.11