Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $100.00 / $398.11	Facility		$36.31	$100.00	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.48 / $21.88	Facility	26	$10.00	$11.48	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $44.67 / $281.84	Facility	TC	$26.30	$44.67	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $66.07	Professional		$26.92	$37.15	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $25.12	Professional	26	$7.94	$12.59	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $40.74	Professional	TC	$18.20	$23.99	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $36.31	Professional		$19.95	$23.99	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.32 / $15.14	Professional	26	$7.24	$8.32	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.50 / $27.54	Professional	TC	$16.22	$19.50	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $177.83	Facility		$100.00	$125.89	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $239.88	Facility		$70.79	$128.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $64.57	Professional		$23.99	$40.74	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.49 / $23.44	Professional	26	$8.32	$13.49	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $29.51 / $51.29	Professional	TC	$18.20	$29.51	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $89.13	Facility		$31.62	$45.71	$89.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $100.00	Facility	26	$22.91	$22.91	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $48.98 / $107.15 / $281.84	Facility	TC	$48.98	$107.15	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $218.78	Professional		$30.90	$41.69	$218.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $87.10	Professional	26	$10.23	$12.88	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $204.17	Professional	TC	$20.42	$28.18	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $79.43 / $117.49	Facility		$24.55	$79.43	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $52.48	Professional		$30.20	$34.67	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.48 / $17.78	Professional	26	$10.00	$11.48	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $23.99 / $36.31	Professional	TC	$20.42	$23.99	$36.31