Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $282.75 / $571.20	Facility		$30.29	$282.75	$571.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.00 / $14.90 / $28.85	Facility	26	$8.00	$14.90	$28.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.53 / $51.76 / $329.97	Facility	TC	$24.53	$51.76	$329.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $33.45 / $106.50	Professional		$19.68	$33.45	$106.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.22 / $37.28	Professional	26	$6.70	$8.22	$37.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.35 / $22.30 / $43.63	Professional	TC	$17.35	$22.30	$43.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $25.58 / $35.89	Professional		$20.21	$25.58	$35.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $8.55 / $13.54	Professional	26	$5.85	$8.55	$13.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.58 / $25.58 / $25.58	Professional	TC	$25.58	$25.58	$25.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $60.12 / $97.98	Facility		$16.47	$60.12	$97.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $25.55 / $32.02	Professional		$22.36	$25.55	$32.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $6.10 / $8.57	Professional	26	$5.34	$6.10	$8.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $19.45 / $24.31	Professional	TC	$17.02	$19.45	$24.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $189.46 / $247.64	Facility		$56.39	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $34.24 / $56.92	Professional		$24.20	$34.24	$56.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $9.43 / $16.57	Professional	26	$6.52	$9.43	$16.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.49 / $36.49 / $36.49	Professional	50	$36.49	$36.49	$36.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $23.58 / $40.35	Professional	TC	$17.07	$23.58	$40.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $34.92 / $86.59	Facility		$27.80	$34.92	$86.59
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 $25.78 / $29.23 / $187.12	Professional		$25.78	$29.23	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.66 / $64.39	Professional	26	$7.44	$8.66	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $21.02 / $161.00	Professional	TC	$18.01	$21.02	$161.00
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $195.48	Facility		$80.90	$80.90	$195.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $29.23 / $55.00	Professional		$25.78	$29.23	$55.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $8.66 / $15.88	Professional	26	$7.43	$8.66	$15.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.57 / $33.04	Professional	TC	$17.67	$20.57	$33.04