Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $213.80 / $398.11	Facility		$47.86	$213.80	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $7.08 / $12.59	Facility	26	$6.92	$7.08	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $173.78 / $338.84	Facility	TC	$15.85	$173.78	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $66.07	Professional		$22.39	$30.20	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $25.70	Professional	26	$7.08	$9.12	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $39.81	Professional	TC	$15.14	$20.89	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $38.90	Professional		$18.62	$22.39	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $13.80	Professional	26	$6.46	$8.32	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.50 / $26.30	Professional	TC	$15.49	$19.50	$26.30
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 $8.71 / $27.54 / $38.02	Professional		$8.71	$27.54	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $323.59	Facility		$21.88	$21.88	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	TC	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $46.77	Professional		$19.95	$26.92	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.33 / $15.49	Professional	26	$6.92	$9.33	$15.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.05 / $33.11	Professional	TC	$12.88	$19.05	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $40.74 / $245.47	Facility		$22.91	$40.74	$245.47
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 $23.99 / $29.51 / $194.98	Professional		$23.99	$29.51	$194.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $54.95	Professional	26	$7.94	$9.77	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.50 / $138.04	Professional	TC	$15.49	$19.50	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $67.61 / $213.80	Facility		$18.20	$67.61	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $42.66	Professional		$23.44	$28.18	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $14.13	Professional	26	$7.76	$9.33	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $28.18	Professional	TC	$15.49	$19.05	$28.18