Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $100.71 / $387.90	Facility		$33.06	$100.71	$387.90
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $14.90 / $28.85	Facility	26	$8.80	$14.90	$28.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.55 / $46.64 / $131.00	Facility	TC	$27.55	$46.64	$131.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.06 / $100.96	Professional		$24.35	$33.06	$100.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.00 / $32.01	Professional	26	$6.70	$8.00	$32.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.97 / $65.48 / $111.19	Professional	50	$47.97	$65.48	$111.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.98 / $14.13 / $16.53	Professional	52	$10.98	$14.13	$16.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $22.05 / $45.59	Professional	TC	$17.64	$22.05	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $27.90 / $42.46	Professional		$22.03	$27.90	$42.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $8.86 / $13.54	Professional	26	$5.87	$8.86	$13.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $66.81 / $110.07	Facility		$18.30	$66.81	$110.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $27.95 / $34.94	Professional		$24.46	$27.95	$34.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $6.10 / $8.01	Professional	26	$5.34	$6.10	$8.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $21.85 / $27.31	Professional	TC	$19.12	$21.85	$27.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $189.46 / $247.64	Facility		$56.39	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.59 / $27.59 / $27.59	Facility	TC	$27.59	$27.59	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $36.02 / $57.60	Professional		$25.24	$36.02	$57.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $9.43 / $16.57	Professional	26	$6.79	$9.43	$16.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.11 / $40.11 / $40.11	Professional	50	$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $25.06 / $43.41	Professional	TC	$18.32	$25.06	$43.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $36.36 / $71.31	Facility		$29.09	$36.36	$71.31
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 $110.49 / $110.49 / $110.49	Facility	TC	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $32.11 / $206.66	Professional		$26.33	$32.11	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.66 / $67.70	Professional	26	$7.44	$8.66	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.69 / $23.46 / $157.81	Professional	TC	$18.69	$23.46	$157.81
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 $25.92 / $32.11 / $51.39	Professional		$25.92	$32.11	$51.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.66 / $15.60	Professional	26	$7.41	$8.66	$15.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.45 / $23.46 / $43.02	Professional	TC	$18.45	$23.46	$43.02