Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Facility		$64.57	$64.57	$91.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	TC	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $67.61	Professional		$14.13	$21.88	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $21.38 / $79.43	Professional	26	$10.00	$21.38	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.24 / $28.18	Professional	TC	$5.01	$7.24	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.12 / $19.95	Professional		$8.71	$9.12	$19.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $11.22 / $16.98	Professional	26	$5.37	$11.22	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $7.08 / $7.94	Professional	TC	$7.08	$7.08	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $25.12 / $37.15	Professional		$7.59	$25.12	$37.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $19.05 / $24.55	Professional	26	$5.37	$19.05	$24.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.13 / $12.88	Professional	TC	$2.88	$5.13	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $32.36	Professional		$18.20	$23.44	$32.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $22.39	Professional	26	$10.72	$14.45	$22.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $8.71 / $13.49	Professional	TC	$7.41	$8.71	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $46.77	Professional		$9.33	$13.18	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $10.23 / $33.11	Professional	26	$5.75	$10.23	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $4.47 / $14.13	Professional	TC	$3.39	$4.47	$14.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $45.71	Facility		$16.98	$22.91	$45.71
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 $13.18 / $28.18 / $131.83	Professional		$13.18	$28.18	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $17.38 / $95.50	Professional	26	$7.76	$17.38	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $10.72 / $95.50	Professional	TC	$5.37	$10.72	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.75 / $9.77	Facility		$4.07	$5.75	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $39.81	Professional		$12.30	$21.38	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.88 / $23.99	Professional	26	$7.24	$12.88	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $8.71 / $16.22	Professional	TC	$4.90	$8.71	$16.22