Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $175.06 / $518.66	Facility		$36.50	$175.06	$518.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.42 / $8.86 / $13.55	Facility	26	$6.42	$8.86	$13.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.46 / $40.54 / $464.54	Facility	TC	$19.46	$40.54	$464.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $30.60 / $34.50	Professional		$21.74	$30.60	$34.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.72 / $10.11	Professional	26	$5.45	$7.72	$10.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.87 / $15.90 / $17.25	Professional	52	$10.87	$15.90	$17.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $22.05 / $26.30	Professional	TC	$16.30	$22.05	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $32.86 / $49.96	Professional		$29.91	$32.86	$49.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $7.46 / $10.07	Professional	26	$5.96	$7.46	$10.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.94 / $29.19 / $39.74	Professional	TC	$26.94	$29.19	$39.74
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 $8.05 / $31.50 / $43.25	Professional		$8.05	$31.50	$43.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.13 / $46.75	Facility		$26.30	$30.13	$46.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $15.28 / $15.28 / $25.68	Facility	TC	$15.28	$15.28	$25.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $29.17 / $43.96	Professional		$23.36	$29.17	$43.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.26 / $13.74	Professional	26	$7.08	$8.26	$13.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.36 / $21.26 / $32.61	Professional	TC	$15.36	$21.26	$32.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $38.02 / $91.89	Facility		$25.67	$38.02	$91.89
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 $55.06 / $118.08 / $118.08	Facility	TC	$55.06	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $36.25 / $219.71	Professional		$27.14	$36.25	$219.71
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.35 / $67.70	Professional	26	$7.53	$9.35	$67.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $23.99 / $168.70	Professional	TC	$18.95	$23.99	$168.70
United Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $143.63	Facility		$127.68	$127.68	$143.63
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $32.22 / $51.13	Professional		$26.74	$32.22	$51.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $8.34 / $13.86	Professional	26	$6.93	$8.34	$13.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $23.49 / $40.40	Professional	TC	$18.48	$23.49	$40.40