Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $293.48 / $783.18	Facility		$94.88	$293.48	$783.18
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.60 / $26.94 / $42.64	Facility	26	$22.60	$26.94	$42.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.86 / $280.64 / $456.36	Facility	TC	$48.86	$280.64	$456.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $73.03 / $118.44	Professional		$67.02	$73.03	$118.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $23.54 / $42.20	Professional	26	$22.60	$23.54	$42.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.42 / $49.12 / $80.89	Professional	TC	$44.42	$49.12	$80.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $84.57 / $96.14	Professional		$76.91	$84.57	$96.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $22.04 / $35.01	Professional	26	$20.61	$22.04	$35.01
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.29 / $66.29 / $66.29	Professional	TC	$66.29	$66.29	$66.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $246.40 / $356.94	Facility		$183.47	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $84.70 / $116.31	Professional		$28.97	$84.70	$116.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $85.49 / $127.50	Facility		$59.58	$85.49	$127.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.27 / $27.27 / $43.41	Facility	26	$27.27	$27.27	$43.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $58.22 / $58.22 / $70.67	Facility	TC	$58.22	$58.22	$70.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $84.06 / $135.49	Professional		$73.06	$84.06	$135.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.07 / $27.50 / $42.22	Professional	26	$23.07	$27.50	$42.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.29 / $58.22 / $91.99	Professional	TC	$47.29	$58.22	$91.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $121.12 / $312.98	Facility		$70.37	$121.12	$312.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $65.77 / $125.66 / $125.66	Facility	26	$65.77	$125.66	$125.66
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $125.56 / $267.93 / $342.37	Facility	TC	$125.56	$267.93	$342.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $108.81 / $568.24	Professional		$83.42	$108.81	$568.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.06 / $31.91 / $227.85	Professional	26	$26.06	$31.91	$227.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.63 / $77.54 / $390.02	Professional	TC	$54.63	$77.54	$390.02
United Facility/Professional Facility Modifier Low / Median / High Price $356.61 / $356.61 / $401.18	Facility		$356.61	$356.61	$401.18
United Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $97.39 / $146.29	Professional		$78.84	$97.39	$146.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.46 / $31.27 / $45.67	Professional	26	$25.46	$31.27	$45.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.38 / $65.94 / $99.91	Professional	TC	$53.38	$65.94	$99.91