Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $234.42 / $467.74	Facility		$44.67	$234.42	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.59 / $13.18	Facility	26	$6.03	$7.59	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $123.03 / $389.05	Facility	TC	$21.38	$123.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $32.36 / $67.61	Professional		$8.32	$32.36	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $38.90	Professional	26	$7.08	$10.72	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $100.00 / $186.21	Professional	50	$37.15	$100.00	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $56.23	Professional	TC	$20.89	$28.18	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $46.77	Professional		$22.91	$28.84	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $13.49	Professional	26	$6.31	$8.32	$13.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $42.66 / $83.18	Professional	50	$36.31	$42.66	$83.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $39.81	Professional	TC	$18.62	$25.70	$39.81
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 $8.32 / $33.88 / $45.71	Professional		$8.32	$33.88	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $112.20	Facility		$28.18	$28.18	$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 $17.38 / $17.38 / $26.30	Facility	TC	$17.38	$17.38	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $57.54	Professional		$25.12	$30.90	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $16.98	Professional	26	$6.76	$8.71	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $22.91 / $41.69	Professional	TC	$17.38	$22.91	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $269.15	Facility		$28.18	$43.65	$269.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $37.15 / $125.89 / $162.18	Facility	TC	$37.15	$125.89	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $234.42	Professional		$28.84	$36.31	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $70.79	Professional	26	$7.59	$9.33	$70.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.30 / $181.97	Professional	TC	$20.42	$26.30	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $67.61 / $213.80	Facility		$21.38	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $51.29	Professional		$27.54	$33.88	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.51 / $12.88	Professional	26	$7.59	$8.51	$12.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $38.02	Professional	TC	$19.95	$24.55	$38.02