Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $62.86 / $374.30	Facility		$32.79	$62.86	$374.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.57 / $16.19 / $31.33	Facility	26	$9.57	$16.19	$31.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.55 / $35.61 / $94.66	Facility	TC	$27.55	$35.61	$94.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $33.75 / $114.71	Professional		$25.77	$33.75	$114.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.55 / $34.85	Professional	26	$6.98	$8.55	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $23.87 / $47.28	Professional	TC	$18.25	$23.87	$47.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $28.49 / $33.02	Professional		$21.18	$28.49	$33.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $11.51 / $15.48	Professional	26	$6.48	$11.51	$15.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $66.45 / $110.07	Facility		$18.30	$66.45	$110.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $28.49 / $35.61	Professional		$24.93	$28.49	$35.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $6.63 / $8.28	Professional	26	$5.80	$6.63	$8.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $21.86 / $27.32	Professional	TC	$19.12	$21.86	$27.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $189.46 / $247.64	Facility		$59.73	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $37.72 / $59.67	Professional		$26.49	$37.72	$59.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.08 / $17.27	Professional	26	$7.08	$10.08	$17.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $26.12 / $42.59	Professional	TC	$18.89	$26.12	$42.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $38.25 / $70.88	Facility		$30.30	$38.25	$70.88
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 $110.49 / $110.49 / $110.49	Facility	TC	$110.49	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $31.76 / $208.83	Professional		$28.35	$31.76	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.02 / $82.56	Professional	26	$8.14	$9.02	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $23.31 / $176.00	Professional	TC	$19.54	$23.31	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $31.76 / $51.36	Professional		$28.29	$31.76	$51.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.02 / $15.84	Professional	26	$8.08	$9.02	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $22.74 / $48.68	Professional	TC	$19.38	$22.74	$48.68