Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $234.42 / $512.86	Facility		$36.31	$234.42	$512.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $9.12 / $17.38	Facility	26	$7.94	$9.12	$17.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $63.10 / $323.59	Facility	TC	$26.92	$63.10	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $30.20 / $72.44	Professional		$7.76	$30.20	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $28.18	Professional	26	$7.08	$10.47	$28.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $151.36 / $162.18	Professional	50	$77.62	$151.36	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $41.69	Professional	TC	$17.38	$25.12	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $42.66	Professional		$19.95	$24.55	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $6.03 / $10.23	Professional	26	$5.75	$6.03	$10.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.42 / $27.54	Professional	TC	$15.49	$20.42	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $190.55	Facility		$107.15	$134.90	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $194.98	Facility		$72.44	$107.15	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $61.66	Professional		$21.88	$36.31	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $16.98	Professional	26	$6.61	$10.47	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $27.54 / $47.86	Professional	TC	$15.49	$27.54	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $75.86	Facility		$30.20	$38.90	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $100.00	Facility	26	$18.20	$18.20	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $109.65 / $338.84	Facility	TC	$51.29	$109.65	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $204.17	Professional		$27.54	$36.31	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $75.86	Professional	26	$8.13	$10.00	$75.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $162.18	Professional	TC	$19.05	$26.30	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $97.72	Facility		$19.05	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $50.12	Professional		$27.54	$30.90	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.71 / $13.80	Professional	26	$7.94	$8.71	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $36.31	Professional	TC	$19.05	$22.39	$36.31