Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $204.52 / $615.94	Facility		$41.37	$204.52	$615.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.99 / $7.50 / $13.51	Facility	26	$6.99	$7.50	$13.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.90 / $196.54 / $241.20	Facility	TC	$20.90	$196.54	$241.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $31.37 / $35.51	Professional		$22.41	$31.37	$35.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $8.34 / $11.33	Professional	26	$5.90	$8.34	$11.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $22.53 / $26.64	Professional	TC	$16.51	$22.53	$26.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $34.53 / $34.53	Professional		$34.53	$34.53	$34.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $8.10 / $14.84	Professional	26	$6.48	$8.10	$14.84
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 $8.75 / $32.54 / $44.70	Professional		$8.75	$32.54	$44.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $26.96 / $113.07	Facility		$26.96	$26.96	$113.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.33 / $14.33 / $14.33	Facility	26	$14.33	$14.33	$14.33
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.80 / $30.80 / $30.80	Facility	TC	$30.80	$30.80	$30.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $30.17 / $46.08	Professional		$24.59	$30.17	$46.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.71 / $13.56	Professional	26	$7.53	$8.71	$13.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $21.73 / $33.86	Professional	TC	$17.05	$21.73	$33.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $36.18 / $132.47	Facility		$26.48	$36.18	$132.47
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 / $297.27	Facility	TC	$57.20	$122.62	$297.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $35.57 / $226.14	Professional		$28.41	$35.57	$226.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $10.23 / $55.28	Professional	26	$8.16	$10.23	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $24.35 / $170.86	Professional	TC	$19.55	$24.35	$170.86
United Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $131.71 / $148.18	Facility		$131.71	$131.71	$148.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $33.84 / $53.12	Professional		$27.99	$33.84	$53.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $9.60 / $14.84	Professional	26	$8.03	$9.60	$14.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $24.35 / $40.21	Professional	TC	$19.13	$24.35	$40.21