Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $216.61 / $427.55	Facility		$42.10	$216.61	$427.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $7.20 / $12.18	Facility	26	$6.46	$7.20	$12.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.72 / $215.61 / $451.72	Facility	TC	$19.72	$215.61	$451.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $31.82 / $35.13	Professional		$21.76	$31.82	$35.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.46 / $7.71 / $10.64	Professional	26	$5.46	$7.71	$10.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.37 / $97.48 / $119.34	Professional	50	$58.37	$97.48	$119.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.88 / $15.91 / $17.42	Professional	52	$10.88	$15.91	$17.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $24.00 / $26.64	Professional	TC	$16.30	$24.00	$26.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $29.95 / $44.54	Professional		$23.96	$29.95	$44.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.98 / $6.37 / $10.11	Professional	26	$5.98	$6.37	$10.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $66.81 / $66.81 / $66.81	Professional	50	$66.81	$66.81	$66.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.49 / $26.94 / $31.33	Professional	TC	$26.49	$26.94	$31.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $69.98 / $101.39	Facility		$54.12	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $31.50 / $43.25	Professional		$8.05	$31.50	$43.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.69 / $51.00	Facility		$26.30	$30.69	$51.00
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 $17.03 / $17.03 / $26.16	Facility	TC	$17.03	$17.03	$26.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $28.60 / $45.68	Professional		$24.89	$28.60	$45.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $7.95 / $12.56	Professional	26	$6.98	$7.95	$12.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.11 / $20.65 / $33.11	Professional	TC	$17.11	$20.65	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $38.43 / $139.50	Facility		$25.95	$38.43	$139.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.97 / $100.00 / $100.00	Facility	26	$18.97	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $118.08 / $171.12	Facility	TC	$55.06	$118.08	$171.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $36.71 / $221.82	Professional		$27.56	$36.71	$221.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.46 / $71.00	Professional	26	$7.39	$9.46	$71.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $24.06 / $170.86	Professional	TC	$19.63	$24.06	$170.86
United Facility/Professional Facility Modifier Low / Median / High Price $117.57 / $117.57 / $132.26	Facility		$117.57	$117.57	$132.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $31.48 / $50.24	Professional		$25.80	$31.48	$50.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.34 / $13.97	Professional	26	$7.36	$8.34	$13.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $22.55 / $36.81	Professional	TC	$18.39	$22.55	$36.81