Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $128.82 / $436.52	Facility		$33.88	$128.82	$436.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $33.88 / $83.18	Facility	26	$10.00	$33.88	$83.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $74.13 / $218.78	Facility	TC	$23.99	$74.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $112.20	Professional		$23.99	$42.66	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $38.90	Professional	26	$7.76	$11.22	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $72.44	Professional	TC	$15.85	$23.99	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $31.62	Professional		$19.05	$22.91	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.94 / $15.14	Professional	26	$6.46	$7.94	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $15.85 / $23.99	Professional	TC	$13.18	$15.85	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $58.88 / $83.18	Facility		$14.79	$58.88	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $53.70	Professional		$23.44	$29.51	$53.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $15.14	Professional	26	$7.76	$9.77	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $38.02	Professional	TC	$16.60	$20.89	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $208.93 / $269.15	Facility		$30.20	$208.93	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $23.44 / $33.11	Facility	TC	$5.01	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $57.54	Professional		$23.44	$32.36	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.72 / $19.05	Professional	26	$7.24	$10.72	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.88 / $41.69	Professional	TC	$16.22	$21.88	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $275.42	Facility		$26.92	$37.15	$275.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $70.79 / $70.79	Facility	26	$20.42	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $97.72 / $97.72	Facility	TC	$44.67	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $194.98	Professional		$26.30	$29.51	$194.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.77 / $54.95	Professional	26	$8.71	$9.77	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.42 / $138.04	Professional	TC	$17.38	$20.42	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $75.86 / $95.50	Facility		$10.72	$75.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $43.65	Professional		$26.30	$29.51	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.33 / $14.79	Professional	26	$8.71	$9.33	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.42 / $29.51	Professional	TC	$17.38	$20.42	$29.51