Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $83.22 / $392.68	Facility		$47.39	$83.22	$392.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.43 / $22.48 / $25.72	Facility	26	$12.43	$22.48	$25.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.60 / $56.94 / $302.50	Facility	TC	$34.60	$56.94	$302.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $40.35 / $49.52	Professional		$35.95	$40.35	$49.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $10.68 / $16.16	Professional	26	$10.36	$10.68	$16.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $29.68 / $46.35	Professional	TC	$25.57	$29.68	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $68.02 / $68.02	Professional		$31.77	$68.02	$68.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.95 / $11.42	Professional	26	$7.94	$7.95	$11.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $34.89 / $34.89	Professional	TC	$24.05	$34.89	$34.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $56.20 / $56.20	Professional		$56.20	$56.20	$56.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $136.11 / $455.25	Facility		$53.71	$136.11	$455.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $52.97 / $73.34	Professional		$30.74	$52.97	$73.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $15.53 / $20.61	Professional	26	$9.21	$15.53	$20.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.45 / $37.69 / $59.33	Professional	TC	$22.45	$37.69	$59.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $53.90 / $98.63	Facility		$39.14	$53.90	$98.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $70.00	Facility	26	$25.22	$25.22	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $65.04 / $65.04 / $139.28	Facility	TC	$65.04	$65.04	$139.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $46.93 / $265.10	Professional		$39.50	$46.93	$265.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $13.69 / $68.20	Professional	26	$11.52	$13.69	$68.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $32.99 / $196.89	Professional	TC	$27.78	$32.99	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $44.41 / $68.70	Professional		$38.40	$44.41	$68.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $12.44 / $19.64	Professional	26	$11.41	$12.44	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $28.87 / $47.84	Professional	TC	$27.43	$28.87	$47.84