Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $232.31 / $482.40	Facility		$43.75	$232.31	$482.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.60 / $9.47 / $16.50	Facility	26	$8.60	$9.47	$16.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.99 / $243.98 / $594.62	Facility	TC	$24.99	$243.98	$594.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $38.29 / $41.56	Professional		$26.09	$38.29	$41.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.19 / $10.90	Professional	26	$7.23	$10.19	$10.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $27.48 / $30.66	Professional	TC	$18.85	$27.48	$30.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $61.02 / $61.58	Professional		$40.10	$61.02	$61.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $8.24 / $16.93	Professional	26	$7.98	$8.24	$16.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.44 / $34.44 / $34.44	Professional	TC	$34.44	$34.44	$34.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $69.98 / $101.39	Facility		$52.11	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $37.79 / $51.90	Professional		$10.85	$37.79	$51.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.62 / $30.62 / $136.56	Facility		$30.62	$30.62	$136.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.57 / $17.57 / $17.57	Facility	26	$17.57	$17.57	$17.57
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $37.60 / $37.60 / $37.60	Facility	TC	$37.60	$37.60	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $35.00 / $55.06	Professional		$30.03	$35.00	$55.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $10.67 / $16.60	Professional	26	$9.22	$10.67	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $25.17 / $38.47	Professional	TC	$20.81	$25.17	$38.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $44.55 / $265.95	Facility		$31.05	$44.55	$265.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $70.00 / $70.00	Facility	26	$25.22	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $65.04 / $139.28 / $139.28	Facility	TC	$65.04	$139.28	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $42.07 / $265.10	Professional		$34.36	$42.07	$265.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $12.51 / $68.20	Professional	26	$9.99	$12.51	$68.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $29.56 / $196.89	Professional	TC	$23.32	$29.56	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.69 / $61.25	Professional		$32.34	$41.69	$61.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.75 / $18.14	Professional	26	$9.82	$11.75	$18.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $27.98 / $43.30	Professional	TC	$23.10	$27.98	$43.30