Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $164.56 / $288.14	Facility		$33.03	$164.56	$288.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $9.51 / $14.91	Facility	26	$8.07	$9.51	$14.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.05 / $39.38 / $228.49	Facility	TC	$23.05	$39.38	$228.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $28.51 / $42.50	Professional		$21.07	$28.51	$42.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $8.00 / $12.48	Professional	26	$6.74	$8.00	$12.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $20.64 / $28.45	Professional	TC	$18.82	$20.64	$28.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $20.83 / $48.17	Professional		$20.20	$20.83	$48.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $5.95 / $8.51	Professional	26	$5.92	$5.95	$8.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $24.23 / $24.23	Professional	TC	$24.23	$24.23	$24.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.89 / $113.36 / $430.59	Facility		$82.89	$113.36	$430.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $112.50 / $241.75	Facility		$37.36	$112.50	$241.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $37.22 / $52.08	Professional		$19.94	$37.22	$52.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $11.30 / $14.59	Professional	26	$6.50	$11.30	$14.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $27.74 / $41.27	Professional	TC	$15.67	$27.74	$41.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $35.61 / $62.24	Facility		$28.34	$35.61	$62.24
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $18.72 / $100.00	Facility	26	$18.72	$18.72	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $45.10 / $100.00	Facility	TC	$45.10	$45.10	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $33.53 / $187.12	Professional		$26.64	$33.53	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $10.26 / $67.70	Professional	26	$7.18	$10.26	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.44 / $160.00	Professional	TC	$19.46	$23.44	$160.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $173.16 / $177.49	Facility		$38.54	$173.16	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $29.74 / $49.08	Professional		$26.64	$29.74	$49.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $8.82 / $13.86	Professional	26	$7.18	$8.82	$13.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $21.92 / $33.02	Professional	TC	$19.39	$21.92	$33.02