Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $222.69 / $472.73	Facility		$34.61	$222.69	$472.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $16.86 / $32.61	Facility	26	$9.94	$16.86	$32.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $54.77 / $293.41	Facility	TC	$30.58	$54.77	$293.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $39.70 / $129.47	Professional		$25.17	$39.70	$129.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $9.27 / $40.00	Professional	26	$7.35	$9.27	$40.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $24.79 / $53.18	Professional	TC	$19.98	$24.79	$53.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $31.11 / $35.15	Professional		$26.42	$31.11	$35.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $10.05 / $36.60	Professional	26	$6.65	$10.05	$36.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $73.61 / $122.16	Facility		$20.30	$73.61	$122.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $32.04 / $40.04	Professional		$28.04	$32.04	$40.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $7.79 / $9.74	Professional	26	$6.82	$7.79	$9.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.22 / $24.25 / $30.31	Professional	TC	$21.22	$24.25	$30.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $214.77 / $251.71	Facility		$165.15	$214.77	$251.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.58 / $63.44	Professional		$28.84	$39.58	$63.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $11.28 / $18.64	Professional	26	$7.37	$11.28	$18.64
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $43.28	Professional	50	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $27.76 / $47.26	Professional	TC	$21.18	$27.76	$47.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $40.57 / $95.33	Facility		$32.99	$40.57	$95.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.20 / $122.62 / $122.62	Facility	TC	$57.20	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $35.01 / $226.14	Professional		$30.97	$35.01	$226.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.23 / $55.28	Professional	26	$9.11	$10.23	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $25.63 / $170.86	Professional	TC	$21.78	$25.63	$170.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $35.01 / $59.15	Professional		$30.96	$35.01	$59.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $9.67 / $17.20	Professional	26	$8.86	$9.67	$17.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.78 / $25.63 / $46.09	Professional	TC	$21.78	$25.63	$46.09