Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $92.04 / $294.76	Facility		$23.73	$92.04	$294.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.50 / $8.03 / $12.12	Facility	26	$6.50	$8.03	$12.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.21 / $24.18 / $180.34	Facility	TC	$17.21	$24.18	$180.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $27.76 / $31.48	Professional		$19.82	$27.76	$31.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.48 / $8.22	Professional	26	$5.45	$7.48	$8.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.92 / $14.68 / $15.74	Professional	52	$9.92	$14.68	$15.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $20.28 / $23.28	Professional	TC	$14.38	$20.28	$23.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $27.61 / $40.13	Professional		$23.47	$27.61	$40.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $7.38 / $10.78	Professional	26	$2.52	$7.38	$10.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $36.27 / $36.27	Professional	TC	$26.20	$36.27	$36.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $69.98 / $101.39	Facility		$52.11	$69.98	$101.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $28.70 / $39.40	Professional		$8.48	$28.70	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $28.45 / $43.14	Facility		$23.63	$28.45	$43.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.15 / $7.15 / $11.74	Facility	26	$7.15	$7.15	$11.74
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.70 / $14.70 / $24.22	Facility	TC	$14.70	$14.70	$24.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $26.43 / $40.34	Professional		$21.64	$26.43	$40.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $7.91 / $12.04	Professional	26	$6.69	$7.91	$12.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $18.52 / $29.27	Professional	TC	$14.49	$18.52	$29.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.68 / $109.27	Facility		$23.44	$34.68	$109.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $105.96 / $105.96	Facility	TC	$49.38	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.83 / $200.17	Professional		$24.70	$33.83	$200.17
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.66 / $61.09	Professional	26	$7.36	$8.66	$61.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.70 / $21.36 / $154.00	Professional	TC	$16.70	$21.36	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $28.53 / $46.66	Professional		$22.90	$28.53	$46.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $8.22 / $13.24	Professional	26	$7.34	$8.22	$13.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $19.85 / $34.75	Professional	TC	$16.51	$19.85	$34.75