Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $69.09 / $372.76	Facility		$27.59	$69.09	$372.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $15.54 / $30.07	Facility	26	$9.18	$15.54	$30.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.15 / $40.90 / $316.97	Facility	TC	$24.15	$40.90	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $31.37 / $107.77	Professional		$22.15	$31.37	$107.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.19 / $32.08	Professional	26	$6.42	$8.19	$32.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $21.44 / $41.66	Professional	TC	$16.39	$21.44	$41.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $25.58 / $29.58	Professional		$20.21	$25.58	$29.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $9.23 / $14.11	Professional	26	$6.13	$9.23	$14.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $25.19 / $25.19	Professional	TC	$15.65	$25.19	$25.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $60.12 / $96.46	Facility		$16.03	$60.12	$96.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $25.52 / $31.90	Professional		$22.33	$25.52	$31.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $6.37 / $8.76	Professional	26	$5.57	$6.37	$8.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $19.14 / $23.94	Professional	TC	$16.76	$19.14	$23.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $189.46 / $247.64	Facility		$57.50	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.52 / $57.06	Professional		$24.52	$33.52	$57.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $9.15 / $15.88	Professional	26	$6.80	$9.15	$15.88
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.11 / $35.11 / $35.11	Professional	50	$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $23.49 / $40.88	Professional	TC	$17.69	$23.49	$40.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $35.01 / $64.15	Facility		$27.65	$35.01	$64.15
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $29.45 / $187.12	Professional		$26.28	$29.45	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.66 / $67.70	Professional	26	$7.21	$8.66	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $21.44 / $160.00	Professional	TC	$18.75	$21.44	$160.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $26.60 / $95.77	Facility		$7.45	$26.60	$95.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $28.87 / $51.83	Professional		$25.92	$28.87	$51.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $8.66 / $13.86	Professional	26	$7.06	$8.66	$13.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $20.21 / $34.46	Professional	TC	$18.75	$20.21	$34.46