Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $117.49 / $407.38	Facility		$34.67	$117.49	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $10.23 / $17.78	Facility	26	$8.91	$10.23	$17.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $85.11 / $309.03	Facility	TC	$23.99	$85.11	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $72.44	Professional		$23.99	$33.88	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $33.88	Professional	26	$7.94	$10.00	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $48.98	Professional	TC	$16.60	$22.39	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $33.11	Professional		$18.20	$22.39	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.08 / $11.75	Professional	26	$6.46	$7.08	$11.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $16.22 / $24.55	Professional	TC	$13.80	$16.22	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $177.83	Facility		$100.00	$128.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $107.15 / $128.82	Facility		$38.90	$107.15	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $58.88	Professional		$21.88	$35.48	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.48 / $19.05	Professional	26	$7.41	$11.48	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $24.55 / $42.66	Professional	TC	$15.49	$24.55	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $97.72	Facility		$28.18	$38.02	$97.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $70.79	Facility	26	$20.42	$20.42	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $44.67 / $97.72 / $338.84	Facility	TC	$44.67	$97.72	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $194.98	Professional		$27.54	$33.11	$194.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.22 / $54.95	Professional	26	$8.91	$11.22	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.39 / $138.04	Professional	TC	$18.20	$22.39	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $66.07 / $97.72	Facility		$18.20	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $47.86	Professional		$26.92	$29.51	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.77 / $15.14	Professional	26	$8.91	$9.77	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.42 / $32.36	Professional	TC	$17.38	$20.42	$32.36