Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $69.28 / $221.41	Facility		$35.47	$69.28	$221.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $16.86 / $35.33	Facility	26	$9.94	$16.86	$35.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.97 / $52.41 / $151.16	Facility	TC	$30.97	$52.41	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $37.21 / $92.47	Professional		$27.79	$37.21	$92.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.28 / $29.08	Professional	26	$7.59	$11.28	$29.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $25.92 / $48.90	Professional	TC	$20.21	$25.92	$48.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $26.82 / $34.13	Professional		$23.33	$26.82	$34.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $14.38 / $19.82	Professional	26	$6.61	$14.38	$19.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $75.58 / $123.63	Facility		$20.07	$75.58	$123.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $31.45 / $39.31	Professional		$27.52	$31.45	$39.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $6.90 / $9.06	Professional	26	$6.04	$6.90	$9.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $24.54 / $30.68	Professional	TC	$21.48	$24.54	$30.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $233.08 / $328.28	Facility		$69.66	$233.08	$328.28
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 $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $43.43 / $75.50	Professional		$30.09	$43.43	$75.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $12.91 / $24.53	Professional	26	$7.37	$12.91	$24.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $29.56 / $50.62	Professional	TC	$21.94	$29.56	$50.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $43.87 / $108.50	Facility		$34.13	$43.87	$108.50
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 $124.11 / $124.11 / $124.11	Facility	TC	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $37.78 / $230.47	Professional		$34.65	$37.78	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $12.48 / $77.59	Professional	26	$10.16	$12.48	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $26.27 / $214.00	Professional	TC	$23.27	$26.27	$214.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $36.15 / $65.65	Professional		$34.20	$36.15	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.91 / $20.35	Professional	26	$9.86	$11.91	$20.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $25.62 / $47.50	Professional	TC	$23.09	$25.62	$47.50