Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $88.28 / $433.80	Facility		$30.23	$88.28	$433.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.05 / $16.86 / $40.77	Facility	26	$9.05	$16.86	$40.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.16 / $64.92 / $332.94	Facility	TC	$24.16	$64.92	$332.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $30.48 / $106.13	Professional		$24.01	$30.48	$106.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.33 / $38.00	Professional	26	$7.78	$9.33	$38.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $20.04 / $43.79	Professional	TC	$16.23	$20.04	$43.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.17 / $29.87	Professional		$19.47	$26.17	$29.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $10.05 / $19.82	Professional	26	$6.65	$10.05	$19.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.65 / $22.55 / $25.19	Professional	TC	$15.65	$22.55	$25.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $60.12 / $96.46	Facility		$16.22	$60.12	$96.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $26.94 / $33.68	Professional		$23.58	$26.94	$33.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $7.79 / $10.02	Professional	26	$6.82	$7.79	$10.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $19.14 / $23.94	Professional	TC	$16.76	$19.14	$23.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.53 / $214.77 / $247.64	Facility		$150.53	$214.77	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $33.52 / $53.75	Professional		$24.32	$33.52	$53.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.01 / $17.97	Professional	26	$7.37	$11.01	$17.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.86 / $22.03 / $37.85	Professional	TC	$16.86	$22.03	$37.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $35.22 / $274.05	Facility		$27.85	$35.22	$274.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $96.88 / $96.88	Facility	TC	$45.10	$96.88	$96.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $29.59 / $193.62	Professional		$26.21	$29.59	$193.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $9.86 / $55.28	Professional	26	$8.84	$9.86	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $20.21 / $138.27	Professional	TC	$17.36	$20.21	$138.27
United Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $29.59 / $55.45	Professional		$26.20	$29.59	$55.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $9.38 / $20.07	Professional	26	$8.83	$9.38	$20.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $20.21 / $37.06	Professional	TC	$17.36	$20.21	$37.06