Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $239.88 / $467.74	Facility		$41.69	$239.88	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $9.77 / $13.18	Facility	26	$6.03	$9.77	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.78 / $33.11 / $223.87	Facility	TC	$17.78	$33.11	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.20 / $66.07	Professional		$12.88	$30.20	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $31.62	Professional	26	$7.08	$10.47	$31.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $158.49 / $186.21	Professional	50	$42.66	$158.49	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $46.77	Professional	TC	$17.78	$25.70	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $42.66	Professional		$21.38	$26.30	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.51 / $13.18	Professional	26	$6.31	$8.51	$13.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $36.31 / $38.02	Professional	50	$32.36	$36.31	$38.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $34.67	Professional	TC	$17.78	$25.70	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $102.33	Facility		$51.29	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $29.51 / $40.74	Professional		$8.32	$29.51	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $112.20	Facility		$24.55	$24.55	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $7.76 / $12.88	Facility	26	$7.76	$7.76	$12.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $19.95 / $28.84	Facility	TC	$19.95	$19.95	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $53.70	Professional		$25.12	$31.62	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $14.45	Professional	26	$6.76	$8.71	$14.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.39 / $37.15	Professional	TC	$17.78	$22.39	$37.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $208.93	Facility		$25.70	$41.69	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $109.65 / $109.65	Facility	TC	$51.29	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $208.93	Professional		$26.92	$36.31	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $74.13	Professional	26	$7.59	$9.55	$74.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $177.83	Professional	TC	$19.05	$25.12	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $67.61 / $213.80	Facility		$24.55	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $48.98	Professional		$26.30	$31.62	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.51 / $12.88	Professional	26	$7.59	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.39 / $35.48	Professional	TC	$18.62	$22.39	$35.48