Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $220.34 / $393.08	Facility		$34.21	$220.34	$393.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.50 / $7.69 / $12.03	Facility	26	$6.50	$7.69	$12.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.29 / $164.86 / $294.37	Facility	TC	$17.29	$164.86	$294.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.24 / $31.37	Professional		$18.55	$27.24	$31.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.72 / $10.19	Professional	26	$5.45	$7.72	$10.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.10 / $19.45 / $22.90	Professional	TC	$13.10	$19.45	$22.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $25.88 / $43.22	Professional		$25.88	$25.88	$43.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $6.34 / $12.61	Professional	26	$5.96	$6.34	$12.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $29.13 / $29.13	Professional	TC	$29.13	$29.13	$29.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $69.98 / $101.39	Facility		$51.38	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $26.95 / $37.01	Professional		$8.05	$26.95	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $30.13 / $45.70	Facility		$21.30	$30.13	$45.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.81 / $6.81 / $11.17	Facility	26	$6.81	$6.81	$11.17
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.99 / $14.99 / $25.68	Facility	TC	$14.99	$14.99	$25.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.32 / $40.78	Professional		$21.88	$25.32	$40.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $7.91 / $11.75	Professional	26	$6.40	$7.91	$11.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $17.68 / $29.15	Professional	TC	$15.07	$17.68	$29.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $35.38 / $68.28	Facility		$21.96	$35.38	$68.28
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 $24.54 / $32.35 / $187.12	Professional		$24.54	$32.35	$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 $16.25 / $20.26 / $160.00	Professional	TC	$16.25	$20.26	$160.00
United Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $176.10 / $198.11	Facility		$30.80	$176.10	$198.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $27.35 / $43.78	Professional		$23.67	$27.35	$43.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $7.92 / $12.99	Professional	26	$7.02	$7.92	$12.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.17 / $19.20 / $32.33	Professional	TC	$16.17	$19.20	$32.33