Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $188.89 / $465.24	Facility		$25.21	$188.89	$465.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.79 / $8.07 / $13.09	Facility	26	$6.79	$8.07	$13.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.96 / $28.54 / $203.87	Facility	TC	$17.96	$28.54	$203.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $30.61 / $36.94	Professional		$20.48	$30.61	$36.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.02 / $10.50	Professional	26	$5.67	$8.02	$10.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $22.48 / $26.62	Professional	TC	$14.81	$22.48	$26.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $28.79 / $48.38	Professional		$28.79	$28.79	$48.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $8.17 / $10.50	Professional	26	$6.22	$8.17	$10.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $24.79 / $34.09	Professional	TC	$24.79	$24.79	$34.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $69.98 / $101.39	Facility		$54.12	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $29.75 / $40.85	Professional		$8.40	$29.75	$40.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $33.20 / $51.00	Facility		$24.63	$33.20	$51.00
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 $20.07 / $20.07 / $28.54	Facility	TC	$20.07	$20.07	$28.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $28.85 / $47.23	Professional		$25.90	$28.85	$47.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.25 / $12.56	Professional	26	$6.98	$8.25	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $21.06 / $34.71	Professional	TC	$18.82	$21.06	$34.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $40.39 / $80.50	Facility		$24.77	$40.39	$80.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$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 $27.16 / $37.40 / $208.83	Professional		$27.16	$37.40	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.46 / $74.30	Professional	26	$7.67	$9.46	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $25.39 / $176.00	Professional	TC	$18.95	$25.39	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $31.63 / $48.65	Professional		$26.69	$31.63	$48.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.57 / $13.53	Professional	26	$7.67	$8.57	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $23.08 / $36.02	Professional	TC	$18.54	$23.08	$36.02