Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $241.20 / $556.26	Facility		$39.22	$241.20	$556.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $8.06 / $14.08	Facility	26	$7.24	$8.06	$14.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.97 / $202.73 / $464.54	Facility	TC	$18.97	$202.73	$464.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $30.89 / $34.84	Professional		$21.77	$30.89	$34.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $8.65 / $10.11	Professional	26	$6.11	$8.65	$10.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $102.06 / $102.06 / $102.06	Professional	50	$102.06	$102.06	$102.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $21.69 / $25.63	Professional	TC	$16.62	$21.69	$25.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $33.57 / $44.54	Professional		$30.56	$33.57	$44.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $7.13 / $11.33	Professional	26	$6.71	$7.13	$11.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $26.60 / $29.13	Professional	TC	$17.73	$26.60	$29.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $69.98 / $101.39	Facility		$50.27	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $31.50 / $43.25	Professional		$9.10	$31.50	$43.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $33.20 / $50.34	Facility		$25.96	$33.20	$50.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.42 / $8.42 / $13.36	Facility	26	$8.42	$8.42	$13.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.00 / $16.00 / $28.54	Facility	TC	$16.00	$16.00	$28.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.22 / $45.70	Professional		$23.99	$29.22	$45.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $8.94 / $14.74	Professional	26	$7.96	$8.94	$14.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.52 / $20.04 / $32.20	Professional	TC	$15.52	$20.04	$32.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.98 / $40.90 / $216.80	Facility		$25.98	$40.90	$216.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $100.00 / $100.00	Facility	26	$21.10	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $105.19 / $116.58 / $195.98	Facility	TC	$105.19	$116.58	$195.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $37.97 / $221.82	Professional		$27.05	$37.97	$221.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.89 / $89.16	Professional	26	$8.48	$9.89	$89.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $23.30 / $177.00	Professional	TC	$17.96	$23.30	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $31.86 / $55.35	Professional		$25.39	$31.86	$55.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.25 / $15.59	Professional	26	$8.27	$9.25	$15.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $22.06 / $35.72	Professional	TC	$16.54	$22.06	$35.72