Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $136.99 / $569.70	Facility		$33.06	$136.99	$569.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.00 / $14.90 / $28.85	Facility	26	$8.00	$14.90	$28.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.55 / $46.64 / $285.69	Facility	TC	$27.55	$46.64	$285.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $34.85 / $90.92	Professional		$22.42	$34.85	$90.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $8.13 / $33.35	Professional	26	$6.49	$8.13	$33.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $23.48 / $45.59	Professional	TC	$17.95	$23.48	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $27.90 / $31.54	Professional		$22.75	$27.90	$31.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $8.86 / $14.26	Professional	26	$5.87	$8.86	$14.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $22.98 / $22.98	Professional	TC	$17.85	$22.98	$22.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $66.18 / $110.07	Facility		$18.30	$66.18	$110.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $27.95 / $34.94	Professional		$24.46	$27.95	$34.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $6.10 / $8.39	Professional	26	$5.34	$6.10	$8.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $21.85 / $27.31	Professional	TC	$19.12	$21.85	$27.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $189.46 / $247.64	Facility		$58.62	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
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 $26.44 / $37.27 / $59.67	Professional		$26.44	$37.27	$59.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $10.01 / $17.37	Professional	26	$6.80	$10.01	$17.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $25.81 / $42.80	Professional	TC	$18.82	$25.81	$42.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $38.33 / $86.19	Facility		$29.67	$38.33	$86.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $110.49 / $110.49 / $110.49	Facility	TC	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $31.76 / $204.50	Professional		$28.80	$31.76	$204.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $8.84 / $74.30	Professional	26	$8.08	$8.84	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $23.61 / $176.00	Professional	TC	$20.19	$23.61	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $31.76 / $52.65	Professional		$28.39	$31.76	$52.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.66 / $15.88	Professional	26	$7.92	$8.66	$15.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $23.10 / $42.36	Professional	TC	$19.72	$23.10	$42.36