Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $225.86 / $380.80	Facility		$22.23	$225.86	$380.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.25 / $7.73 / $12.12	Facility	26	$6.25	$7.73	$12.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.97 / $29.94 / $260.79	Facility	TC	$15.97	$29.94	$260.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.24 / $30.93	Professional		$18.55	$27.24	$30.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $7.41 / $10.58	Professional	26	$5.23	$7.41	$10.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.30 / $88.30 / $88.30	Professional	50	$88.30	$88.30	$88.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $19.75 / $21.60	Professional	TC	$13.32	$19.75	$21.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $28.40 / $43.22	Professional		$25.88	$28.40	$43.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $7.34 / $12.13	Professional	26	$5.73	$7.34	$12.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $26.39 / $26.39	Professional	TC	$26.39	$26.39	$26.39
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 $7.70 / $26.95 / $37.01	Professional		$7.70	$26.95	$37.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $30.13 / $45.70	Facility		$21.64	$30.13	$45.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.15 / $7.15 / $11.74	Facility	26	$7.15	$7.15	$11.74
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 $21.93 / $25.22 / $40.34	Professional		$21.93	$25.22	$40.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $7.91 / $12.04	Professional	26	$6.69	$7.91	$12.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $17.57 / $28.30	Professional	TC	$14.78	$17.57	$28.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $34.22 / $73.14	Facility		$21.96	$34.22	$73.14
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $100.00 / $100.00	Facility	TC	$45.82	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $32.35 / $187.12	Professional		$24.19	$32.35	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.66 / $64.39	Professional	26	$7.37	$8.66	$64.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $20.57 / $161.00	Professional	TC	$16.45	$20.57	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.66 / $44.31	Professional		$22.23	$27.66	$44.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $8.23 / $13.24	Professional	26	$7.35	$8.23	$13.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $20.07 / $30.86	Professional	TC	$15.07	$20.07	$30.86