Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $95.21 / $427.22	Facility		$32.36	$95.21	$427.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $15.54 / $30.07	Facility	26	$8.34	$15.54	$30.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.42 / $55.76 / $420.68	Facility	TC	$26.42	$55.76	$420.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.36 / $162.00	Professional		$21.05	$32.36	$162.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.22 / $34.54	Professional	26	$6.70	$8.22	$34.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.52 / $73.37 / $96.04	Professional	50	$47.52	$73.37	$96.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.10 / $14.45 / $174.20	Professional	52	$10.10	$14.45	$174.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $22.31 / $56.42	Professional	TC	$17.05	$22.31	$56.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $27.32 / $31.67	Professional		$22.28	$27.32	$31.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $9.23 / $14.85	Professional	26	$6.09	$9.23	$14.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $73.04 / $110.94	Facility		$17.55	$73.04	$110.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $27.32 / $34.15	Professional		$23.91	$27.32	$34.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $6.37 / $8.93	Professional	26	$5.57	$6.37	$8.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $20.95 / $26.19	Professional	TC	$18.32	$20.95	$26.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $233.08 / $328.28	Facility		$55.27	$233.08	$328.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.47 / $26.47 / $26.47	Facility	TC	$26.47	$26.47	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $35.65 / $56.24	Professional		$24.43	$35.65	$56.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $9.43 / $16.57	Professional	26	$6.80	$9.43	$16.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $24.10 / $40.70	Professional	TC	$17.48	$24.10	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $35.64 / $68.13	Facility		$28.99	$35.64	$68.13
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 $105.96 / $105.96 / $105.96	Facility	TC	$105.96	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $30.68 / $200.17	Professional		$26.14	$30.68	$200.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.66 / $61.09	Professional	26	$7.59	$8.66	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.95 / $22.33 / $154.00	Professional	TC	$17.95	$22.33	$154.00
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $240.48	Facility		$108.97	$108.97	$240.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $30.68 / $56.26	Professional		$25.92	$30.68	$56.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $8.66 / $14.40	Professional	26	$7.49	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $22.02 / $40.38	Professional	TC	$17.68	$22.02	$40.38