Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $165.96 / $660.69	Facility		$35.48	$165.96	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $30.90 / $41.69	Facility	26	$10.00	$30.90	$41.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $58.88 / $177.83	Facility	TC	$19.50	$58.88	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $85.11	Professional		$17.38	$30.20	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $36.31	Professional	26	$7.94	$9.33	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $17.38 / $44.67	Professional	TC	$10.00	$17.38	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $26.30	Professional		$16.60	$19.50	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.24 / $13.49	Professional	26	$6.46	$7.24	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $12.59 / $16.22	Professional	TC	$11.75	$12.59	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $52.48 / $83.18	Facility		$12.02	$52.48	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $46.77	Professional		$20.42	$26.30	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $15.14	Professional	26	$7.76	$9.33	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $16.98 / $30.90	Professional	TC	$13.49	$16.98	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $208.93 / $269.15	Facility		$20.89	$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 $4.07 / $19.05 / $26.92	Facility	TC	$4.07	$19.05	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $50.12	Professional		$18.62	$25.70	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $19.05	Professional	26	$7.08	$10.72	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $15.14 / $33.88	Professional	TC	$10.47	$15.14	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $169.82	Facility		$23.44	$34.67	$169.82
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 $36.31 / $79.43 / $79.43	Facility	TC	$36.31	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $165.96	Professional		$19.05	$25.70	$165.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.22 / $54.95	Professional	26	$8.91	$11.22	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $16.60 / $109.65	Professional	TC	$10.47	$16.60	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $75.86 / $95.50	Facility		$8.91	$75.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $36.31	Professional		$19.05	$25.12	$36.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.33 / $14.79	Professional	26	$8.51	$9.33	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $14.45 / $22.39	Professional	TC	$10.23	$14.45	$22.39