Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $269.15 / $549.54	Facility		$45.71	$269.15	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $29.51 / $83.18	Facility	26	$9.55	$29.51	$83.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $42.66 / $67.61 / $218.78	Facility	TC	$42.66	$67.61	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $44.67 / $134.90	Professional		$10.96	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $15.14 / $46.77	Professional	26	$7.76	$15.14	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $85.11 / $218.78	Professional	50	$18.20	$85.11	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $45.71 / $104.71	Professional	TC	$25.12	$45.71	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $52.48	Professional		$26.30	$33.11	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.32 / $13.18	Professional	26	$6.17	$8.32	$13.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $46.77 / $81.28	Professional	50	$41.69	$46.77	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.70 / $48.98	Professional	TC	$20.42	$25.70	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $70.79 / $109.65	Facility		$22.91	$70.79	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $72.44	Professional		$31.62	$39.81	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.41 / $13.18	Professional	26	$5.75	$7.41	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $58.88	Professional	TC	$25.70	$32.36	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $125.89 / $269.15	Facility		$41.69	$125.89	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.76 / $35.48 / $51.29	Facility	TC	$7.76	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $77.62	Professional		$30.90	$41.69	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.00 / $18.20	Professional	26	$6.92	$10.00	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $60.26	Professional	TC	$22.91	$31.62	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $346.74	Facility		$33.88	$46.77	$346.74
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 $70.79 / $151.36 / $151.36	Facility	TC	$70.79	$151.36	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $263.03	Professional		$32.36	$39.81	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $67.61	Professional	26	$8.13	$9.55	$67.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $208.93	Professional	TC	$23.99	$30.90	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $75.86 / $95.50	Facility		$9.77	$75.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $57.54	Professional		$31.62	$38.90	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.12 / $13.80	Professional	26	$7.94	$9.12	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $44.67	Professional	TC	$23.44	$30.20	$44.67