Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $181.79 / $397.83	Facility		$29.52	$181.79	$397.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.25 / $8.07 / $12.65	Facility	26	$6.25	$8.07	$12.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.71 / $120.66 / $294.37	Facility	TC	$17.71	$120.66	$294.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $29.36 / $33.63	Professional		$20.04	$29.36	$33.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $7.41 / $10.81	Professional	26	$5.23	$7.41	$10.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $19.94 / $23.95	Professional	TC	$14.81	$19.94	$23.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $31.51 / $46.59	Professional		$30.62	$31.51	$46.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $7.17 / $11.48	Professional	26	$5.73	$7.17	$11.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $24.88 / $26.95	Professional	TC	$24.46	$24.88	$26.95
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 $7.70 / $29.05 / $39.89	Professional		$7.70	$29.05	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $30.13 / $46.75	Facility		$23.97	$30.13	$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 $14.41 / $14.41 / $25.68	Facility	TC	$14.41	$14.41	$25.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $26.78 / $41.55	Professional		$21.98	$26.78	$41.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.81 / $8.08 / $12.56	Professional	26	$6.81	$8.08	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $19.13 / $30.11	Professional	TC	$14.33	$19.13	$30.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $37.25 / $78.44	Facility		$23.69	$37.25	$78.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $50.81 / $109.00 / $153.30	Facility	TC	$50.81	$109.00	$153.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $34.44 / $202.34	Professional		$25.15	$34.44	$202.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.81 / $75.00	Professional	26	$7.22	$8.81	$75.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $22.06 / $163.00	Professional	TC	$17.14	$22.06	$163.00
United Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $115.52 / $129.96	Facility		$115.52	$115.52	$129.96
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $29.49 / $51.14	Professional		$24.83	$29.49	$51.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $8.34 / $12.77	Professional	26	$7.22	$8.34	$12.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $21.15 / $34.11	Professional	TC	$16.60	$21.15	$34.11