Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $220.99 / $585.54	Facility		$32.47	$220.99	$585.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $10.63 / $18.14	Facility	26	$8.76	$10.63	$18.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.00 / $197.26 / $350.67	Facility	TC	$20.00	$197.26	$350.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.45 / $37.77	Professional		$17.78	$25.45	$37.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $8.68 / $15.18	Professional	26	$8.05	$8.68	$15.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $16.27 / $23.08	Professional	TC	$9.69	$16.27	$23.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $18.54	Professional		$18.54	$18.54	$18.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.44 / $9.26	Professional	26	$6.44	$6.44	$9.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.85 / $12.85 / $12.85	Professional	TC	$12.85	$12.85	$12.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $123.58 / $314.19	Facility		$90.36	$123.58	$314.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $31.17 / $31.17	Professional		$31.17	$31.17	$31.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $109.68 / $196.61	Facility		$30.36	$109.68	$196.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $30.64 / $45.71	Professional		$17.20	$30.64	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $12.75 / $16.27	Professional	26	$7.25	$12.75	$16.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.89 / $16.53 / $33.52	Professional	TC	$9.89	$16.53	$33.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $33.08 / $163.91	Facility		$24.69	$33.08	$163.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $20.47 / $70.00	Facility	26	$20.47	$20.47	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $36.54 / $36.54 / $414.00	Facility	TC	$36.54	$36.54	$414.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.50 / $165.42	Professional		$20.83	$28.50	$165.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.23 / $55.28	Professional	26	$9.36	$11.23	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $17.10 / $110.07	Professional	TC	$11.01	$17.10	$110.07
United Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $173.16 / $177.49	Facility		$84.95	$173.16	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $25.98 / $46.76	Professional		$20.83	$25.98	$46.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $10.32 / $15.95	Professional	26	$9.22	$10.32	$15.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $16.41 / $26.56	Professional	TC	$11.01	$16.41	$26.56