Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $90.05 / $442.00	Facility		$27.15	$90.05	$442.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.42 / $14.27 / $27.63	Facility	26	$8.42	$14.27	$27.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.77 / $40.25 / $316.97	Facility	TC	$23.77	$40.25	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $32.56 / $103.50	Professional		$24.23	$32.56	$103.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.66 / $34.02	Professional	26	$6.36	$7.66	$34.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.58 / $76.58 / $94.79	Professional	50	$76.58	$76.58	$94.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.61 / $13.61 / $79.83	Professional	52	$9.61	$13.61	$79.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $20.39 / $42.45	Professional	TC	$16.39	$20.39	$42.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $24.71 / $37.60	Professional		$19.53	$24.71	$37.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.84 / $13.66	Professional	26	$5.62	$9.84	$13.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $60.12 / $94.94	Facility		$15.78	$60.12	$94.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $24.69 / $30.86	Professional		$21.60	$24.69	$30.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.11 / $5.84 / $7.67	Professional	26	$5.11	$5.84	$7.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $18.85 / $23.56	Professional	TC	$16.48	$18.85	$23.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $189.46 / $247.64	Facility		$54.17	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $33.28 / $54.30	Professional		$23.24	$33.28	$54.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.24 / $9.14 / $15.89	Professional	26	$6.24	$9.14	$15.89
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $22.94 / $39.65	Professional	TC	$17.02	$22.94	$39.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $33.58 / $62.54	Facility		$26.86	$33.58	$62.54
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $28.28 / $180.63	Professional		$25.56	$28.28	$180.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $7.94 / $67.70	Professional	26	$7.40	$7.94	$67.70
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $54.11 / $54.11 / $54.11	Professional	52	$54.11	$54.11	$54.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $20.72 / $154.00	Professional	TC	$17.85	$20.72	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $28.15 / $51.12	Professional		$25.56	$28.15	$51.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $7.94 / $14.31	Professional	26	$7.20	$7.94	$14.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $20.21 / $36.71	Professional	TC	$17.85	$20.21	$36.71