Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $223.05 / $459.19	Facility		$38.40	$223.05	$459.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $9.94 / $15.55	Facility	26	$8.41	$9.94	$15.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.42 / $51.59 / $312.43	Facility	TC	$27.42	$51.59	$312.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $31.88 / $47.32	Professional		$14.55	$31.88	$47.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.53 / $14.55	Professional	26	$7.33	$9.53	$14.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $26.31 / $33.84	Professional	TC	$22.37	$26.31	$33.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $25.83 / $53.65	Professional		$23.20	$25.83	$53.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.18 / $6.25 / $8.88	Professional	26	$6.18	$6.25	$8.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.50 / $23.50 / $23.50	Professional	TC	$23.50	$23.50	$23.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $151.46 / $512.66	Facility		$110.75	$151.46	$512.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $48.64 / $48.64	Professional		$48.64	$48.64	$48.64
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 $23.75 / $43.60 / $58.55	Professional		$23.75	$43.60	$58.55
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 $17.44 / $33.64 / $47.08	Professional	TC	$17.44	$33.64	$47.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $44.17 / $76.75	Facility		$32.76	$44.17	$76.75
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 $31.29 / $37.70 / $208.83	Professional		$31.29	$37.70	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.81 / $74.30	Professional	26	$8.31	$10.81	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $27.12 / $176.00	Professional	TC	$22.11	$27.12	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $34.54 / $53.38	Professional		$30.68	$34.54	$53.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.89 / $14.73	Professional	26	$8.31	$9.89	$14.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.68 / $24.74 / $39.44	Professional	TC	$21.68	$24.74	$39.44