Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $225.86 / $356.41	Facility		$33.46	$225.86	$356.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.25 / $8.07 / $13.09	Facility	26	$6.25	$8.07	$13.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.97 / $158.53 / $251.11	Facility	TC	$17.97	$158.53	$251.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $29.48 / $32.42	Professional		$20.47	$29.48	$32.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.49 / $9.80	Professional	26	$5.45	$7.49	$9.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.02 / $21.35 / $24.29	Professional	TC	$15.02	$21.35	$24.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.22 / $41.23	Professional		$28.18	$35.22	$41.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $7.17 / $9.68	Professional	26	$5.69	$7.17	$9.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.94 / $26.94 / $26.94	Professional	TC	$26.94	$26.94	$26.94
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 $8.05 / $29.75 / $40.85	Professional		$8.05	$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 $16.00 / $16.00 / $28.54	Facility	TC	$16.00	$16.00	$28.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $27.34 / $43.18	Professional		$23.36	$27.34	$43.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $8.08 / $12.80	Professional	26	$6.86	$8.08	$12.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.36 / $19.43 / $30.52	Professional	TC	$15.36	$19.43	$30.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $37.70 / $70.52	Facility		$23.94	$37.70	$70.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$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 $25.88 / $35.22 / $204.50	Professional		$25.88	$35.22	$204.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.06 / $74.30	Professional	26	$7.53	$9.06	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $23.08 / $176.00	Professional	TC	$17.52	$23.08	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $30.32 / $48.15	Professional		$25.06	$30.32	$48.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.34 / $13.90	Professional	26	$7.36	$8.34	$13.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $21.94 / $36.24	Professional	TC	$17.39	$21.94	$36.24