Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $239.88 / $549.54	Facility		$30.90	$239.88	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $8.51 / $12.02	Facility	26	$6.03	$8.51	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $28.84 / $323.59	Facility	TC	$15.85	$28.84	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $25.70 / $54.95	Professional		$7.76	$25.70	$54.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $29.51	Professional	26	$6.03	$7.94	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $141.25 / $144.54	Professional	50	$89.13	$141.25	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $36.31	Professional	TC	$15.14	$20.89	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $37.15	Professional		$18.20	$22.39	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.41 / $11.22	Professional	26	$5.75	$7.41	$11.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $21.88 / $26.92	Professional	TC	$13.80	$21.88	$26.92
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 $7.76 / $26.92 / $37.15	Professional		$7.76	$26.92	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $112.20	Facility		$21.88	$21.88	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $11.75	Facility	26	$7.08	$7.08	$11.75
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $15.14 / $25.70	Facility	TC	$15.14	$15.14	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $47.86	Professional		$21.38	$26.92	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.94 / $13.49	Professional	26	$6.46	$7.94	$13.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.05 / $31.62	Professional	TC	$14.45	$19.05	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $204.17	Facility		$22.39	$37.15	$204.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.71 / $100.00 / $100.00	Facility	TC	$45.71	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $186.21	Professional		$23.99	$31.62	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.71 / $64.57	Professional	26	$7.41	$8.71	$64.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $162.18	Professional	TC	$16.60	$20.89	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $67.61 / $213.80	Facility		$18.20	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $42.66	Professional		$22.91	$27.54	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.32 / $12.30	Professional	26	$7.24	$8.32	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.50 / $29.51	Professional	TC	$15.49	$19.50	$29.51