Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $239.88 / $478.63	Facility		$63.10	$239.88	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.13 / $14.13	Facility	26	$7.08	$8.13	$14.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $85.11 / $416.87	Facility	TC	$23.44	$85.11	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $36.31 / $77.62	Professional		$8.71	$36.31	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $42.66	Professional	26	$7.08	$11.22	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $13.80 / $112.20 / $208.93	Professional	50	$13.80	$112.20	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $63.10	Professional	TC	$22.91	$30.90	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $52.48	Professional		$26.30	$32.36	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.33 / $14.79	Professional	26	$6.17	$9.33	$14.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $50.12 / $75.86	Professional	50	$41.69	$50.12	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $47.86	Professional	TC	$21.88	$32.36	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $102.33	Facility		$51.29	$75.86	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $37.15 / $51.29	Professional		$9.12	$37.15	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $112.20	Facility		$31.62	$31.62	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $13.49	Facility	26	$8.51	$8.51	$13.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $19.05 / $28.84	Facility	TC	$19.05	$19.05	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $64.57	Professional		$27.54	$34.67	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $18.20	Professional	26	$7.76	$9.33	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $46.77	Professional	TC	$19.05	$25.70	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $338.84	Facility		$31.62	$51.29	$338.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $100.00 / $100.00	Facility	26	$20.89	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $67.61 / $144.54 / $144.54	Facility	TC	$67.61	$144.54	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $263.03	Professional		$32.36	$40.74	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.00 / $79.43	Professional	26	$8.32	$10.00	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $204.17	Professional	TC	$22.91	$30.20	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $67.61 / $213.80	Facility		$23.99	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $57.54	Professional		$30.90	$37.15	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.33 / $14.45	Professional	26	$8.13	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $42.66	Professional	TC	$22.39	$27.54	$42.66