Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $206.23 / $436.24	Facility		$32.58	$206.23	$436.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $8.96 / $16.10	Facility	26	$7.75	$8.96	$16.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.64 / $43.08 / $375.26	Facility	TC	$20.64	$43.08	$375.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $31.37 / $111.75	Professional		$16.39	$31.37	$111.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.73 / $34.56	Professional	26	$7.06	$11.73	$34.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $80.53 / $80.53 / $109.72	Professional	50	$80.53	$80.53	$109.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $22.35 / $56.86	Professional	TC	$17.72	$22.35	$56.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $42.34 / $48.17	Professional		$20.20	$42.34	$48.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $8.38 / $13.19	Professional	26	$5.92	$8.38	$13.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $29.13 / $29.13	Professional	TC	$29.13	$29.13	$29.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $31.67 / $51.85	Professional		$24.47	$31.67	$51.85
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $15.49	Professional	26	$7.94	$10.00	$15.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.70 / $47.50 / $77.77	Professional	50	$36.70	$47.50	$77.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $21.99 / $36.36	Professional	TC	$16.53	$21.99	$36.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $79.67 / $247.79	Facility		$51.74	$79.67	$247.79
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 $22.58 / $36.95 / $57.51	Professional		$22.58	$36.95	$57.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.62 / $10.99 / $17.64	Professional	26	$6.62	$10.99	$17.64
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 $16.07 / $26.45 / $41.89	Professional	TC	$16.07	$26.45	$41.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $40.53 / $86.39	Facility		$26.73	$40.53	$86.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $100.00 / $100.00	Facility	TC	$45.10	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $37.88 / $187.12	Professional		$27.38	$37.88	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $11.60 / $67.70	Professional	26	$7.85	$11.60	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $26.29 / $160.00	Professional	TC	$19.20	$26.29	$160.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $49.70 / $49.70	Professional		$49.70	$49.70	$49.70
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $14.50 / $14.50	Professional	26	$14.50	$14.50	$14.50
United Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $84.95 / $182.03	Facility		$24.76	$84.95	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $32.57 / $55.15	Professional		$25.98	$32.57	$55.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.89 / $15.21	Professional	26	$7.79	$9.89	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $22.90 / $38.86	Professional	TC	$18.38	$22.90	$38.86