Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $231.87 / $482.41	Facility		$46.15	$231.87	$482.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $8.07 / $12.65	Facility	26	$6.70	$8.07	$12.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.51 / $215.61 / $465.03	Facility	TC	$21.51	$215.61	$465.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $34.54 / $37.88	Professional		$23.78	$34.54	$37.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.02 / $11.05	Professional	26	$5.67	$8.02	$11.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.20 / $67.14 / $104.94	Professional	50	$55.20	$67.14	$104.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $24.51 / $28.31	Professional	TC	$17.36	$24.51	$28.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $36.08 / $46.73	Professional		$26.27	$36.08	$46.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.61 / $10.50	Professional	26	$6.22	$6.61	$10.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.09 / $70.09 / $70.09	Professional	50	$70.09	$70.09	$70.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $32.57 / $32.99	Professional	TC	$29.56	$32.57	$32.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $69.98 / $101.39	Facility		$51.61	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $33.25 / $45.66	Professional		$8.40	$33.25	$45.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $30.69 / $46.75	Facility		$28.96	$30.69	$46.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.32 / $17.32 / $26.16	Facility	TC	$17.32	$17.32	$26.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $30.42 / $47.69	Professional		$25.18	$30.42	$47.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.25 / $12.56	Professional	26	$6.98	$8.25	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $22.17 / $36.39	Professional	TC	$17.39	$22.17	$36.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $40.03 / $185.63	Facility		$27.43	$40.03	$185.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $131.69 / $152.50	Facility	TC	$61.48	$131.69	$152.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $37.15 / $234.86	Professional		$28.54	$37.15	$234.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.46 / $67.70	Professional	26	$7.67	$9.46	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $25.37 / $181.68	Professional	TC	$20.01	$25.37	$181.68
United Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $125.63 / $125.63	Facility		$125.63	$125.63	$125.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $32.89 / $53.44	Professional		$27.44	$32.89	$53.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.57 / $13.53	Professional	26	$7.67	$8.57	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $23.71 / $42.40	Professional	TC	$18.64	$23.71	$42.40