Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $234.42 / $501.19	Facility		$38.02	$234.42	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $8.91 / $12.59	Facility	26	$6.03	$8.91	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.78 / $63.10 / $457.09	Facility	TC	$17.78	$63.10	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $28.18 / $60.26	Professional		$7.76	$28.18	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $30.90	Professional	26	$6.03	$8.91	$30.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.79 / $117.49 / $162.18	Professional	50	$14.79	$117.49	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $42.66	Professional	TC	$16.98	$23.44	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $39.81	Professional		$19.50	$23.99	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.41 / $12.59	Professional	26	$5.75	$7.41	$12.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.44 / $34.67	Professional	TC	$17.78	$23.44	$34.67
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 $7.76 / $28.84 / $39.81	Professional		$7.76	$28.84	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $112.20	Facility		$23.99	$23.99	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $7.76 / $12.88	Facility	26	$7.76	$7.76	$12.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.45 / $14.45 / $25.70	Facility	TC	$14.45	$14.45	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $52.48	Professional		$21.38	$28.18	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.51 / $14.45	Professional	26	$6.76	$8.51	$14.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.95 / $35.48	Professional	TC	$14.13	$19.95	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $208.93	Facility		$23.99	$38.02	$208.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $109.65 / $154.88	Facility	TC	$51.29	$109.65	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $204.17	Professional		$25.70	$33.11	$204.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.91 / $75.86	Professional	26	$7.24	$8.91	$75.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $162.18	Professional	TC	$16.98	$22.91	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $67.61 / $213.80	Facility		$17.78	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $43.65	Professional		$23.99	$29.51	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.32 / $12.59	Professional	26	$7.08	$8.32	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $21.38 / $30.90	Professional	TC	$16.60	$21.38	$30.90