Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $107.64 / $596.10	Facility		$35.11	$107.64	$596.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $15.54 / $34.11	Facility	26	$8.34	$15.54	$34.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.44 / $62.14 / $596.38	Facility	TC	$29.44	$62.14	$596.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $40.29 / $114.96	Professional		$22.24	$40.29	$114.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.86 / $39.00	Professional	26	$6.76	$8.86	$39.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.10 / $98.62 / $244.50	Professional	50	$17.10	$98.62	$244.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.55 / $14.89 / $17.55	Professional	52	$11.55	$14.89	$17.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $24.25 / $63.64	Professional	TC	$18.54	$24.25	$63.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $29.64 / $34.45	Professional		$25.33	$29.64	$34.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $9.23 / $14.85	Professional	26	$6.13	$9.23	$14.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $33.03 / $38.65 / $48.33	Professional	50	$33.03	$38.65	$48.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $24.56 / $24.56	Professional	TC	$24.56	$24.56	$24.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $71.48 / $117.66	Facility		$19.55	$71.48	$117.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $29.71 / $37.60	Professional		$26.00	$29.71	$37.60
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 $20.43 / $23.34 / $29.18	Professional	TC	$20.43	$23.34	$29.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $189.46 / $247.64	Facility		$58.62	$189.46	$247.64
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 $29.46 / $29.46 / $29.46	Facility	TC	$29.46	$29.46	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.57 / $62.31	Professional		$26.86	$38.57	$62.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $10.37 / $17.57	Professional	26	$6.80	$10.37	$17.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.91 / $41.91 / $41.91	Professional	50	$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.26 / $46.48	Professional	TC	$19.05	$26.26	$46.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $38.65 / $92.29	Facility		$30.61	$38.65	$92.29
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 $118.08 / $118.08 / $118.08	Facility	TC	$118.08	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $33.92 / $219.71	Professional		$27.77	$33.92	$219.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.52 / $67.70	Professional	26	$8.13	$9.52	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $25.26 / $168.70	Professional	TC	$19.44	$25.26	$168.70
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $195.48	Facility		$80.90	$80.90	$195.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $33.92 / $62.20	Professional		$27.14	$33.92	$62.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.66 / $15.93	Professional	26	$7.92	$8.66	$15.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $25.26 / $40.40	Professional	TC	$19.44	$25.26	$40.40