Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.43 / $81.52 / $456.64	Facility		$31.43	$81.52	$456.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.11 / $18.80 / $36.39	Facility	26	$11.11	$18.80	$36.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.42 / $55.76 / $395.93	Facility	TC	$26.42	$55.76	$395.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $36.58 / $129.01	Professional		$29.30	$36.58	$129.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.33 / $38.40	Professional	26	$8.46	$10.33	$38.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $23.92 / $45.93	Professional	TC	$17.75	$23.92	$45.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $28.81 / $43.83	Professional		$21.43	$28.81	$43.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $10.81 / $17.97	Professional	26	$7.42	$10.81	$17.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $16.53 / $17.11	Professional	TC	$16.53	$16.53	$17.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $69.73 / $105.57	Facility		$17.55	$69.73	$105.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $28.66 / $36.11	Professional		$25.07	$28.66	$36.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.70 / $10.11	Professional	26	$6.74	$7.70	$10.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $20.95 / $26.19	Professional	TC	$18.32	$20.95	$26.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $233.08 / $328.28	Facility		$65.23	$233.08	$328.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $41.59 / $67.79	Professional		$27.61	$41.59	$67.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $12.65 / $22.81	Professional	26	$8.23	$12.65	$22.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $27.93 / $46.51	Professional	TC	$19.39	$27.93	$46.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $41.17 / $97.36	Facility		$31.31	$41.17	$97.36
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 $105.96 / $105.96 / $105.96	Facility	TC	$105.96	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $34.86 / $218.00	Professional		$32.11	$34.86	$218.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $11.46 / $87.52	Professional	26	$9.83	$11.46	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $24.64 / $206.00	Professional	TC	$21.65	$24.64	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $34.38 / $58.90	Professional		$32.02	$34.38	$58.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $10.89 / $19.43	Professional	26	$9.72	$10.89	$19.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $23.49 / $46.35	Professional	TC	$21.65	$23.49	$46.35