Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $115.04 / $413.59	Facility		$36.00	$115.04	$413.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.19 / $15.55	Facility	26	$8.41	$10.19	$15.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.17 / $45.68 / $329.18	Facility	TC	$27.17	$45.68	$329.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $31.88 / $38.61	Professional		$26.46	$31.88	$38.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.34 / $12.99	Professional	26	$7.33	$8.34	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $22.84 / $31.54	Professional	TC	$19.14	$22.84	$31.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $53.65 / $53.65	Professional		$23.20	$53.65	$53.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $6.26 / $8.88	Professional	26	$6.18	$6.26	$8.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $18.07 / $18.07	Professional	TC	$18.07	$18.07	$18.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $143.10 / $512.98	Facility		$104.64	$143.10	$512.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $51.11 / $51.11	Professional		$51.11	$51.11	$51.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $112.50 / $241.75	Facility		$42.62	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $39.57 / $57.97	Professional		$21.67	$39.57	$57.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $12.08 / $15.64	Professional	26	$6.98	$12.08	$15.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $29.76 / $47.08	Professional	TC	$17.36	$29.76	$47.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $39.74 / $69.39	Facility		$31.08	$39.74	$69.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $100.00	Facility	26	$19.60	$19.60	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $51.52 / $110.49	Facility	TC	$51.52	$51.52	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $36.89 / $208.83	Professional		$30.04	$36.89	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.81 / $82.56	Professional	26	$8.31	$10.81	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $26.17 / $176.00	Professional	TC	$21.73	$26.17	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $32.71 / $51.41	Professional		$29.65	$32.71	$51.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.28 / $15.33	Professional	26	$8.31	$9.28	$15.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $22.74 / $36.38	Professional	TC	$21.41	$22.74	$36.38