Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $79.34 / $299.00	Professional		$61.03	$79.34	$299.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $12.46 / $61.06	Professional	26	$8.09	$12.46	$61.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.06 / $68.56 / $122.00	Professional	TC	$46.06	$68.56	$122.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $84.15 / $160.13	Professional		$50.51	$84.15	$160.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $10.07 / $15.67	Professional	26	$5.45	$10.07	$15.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.23 / $43.23 / $59.86	Professional	TC	$43.23	$43.23	$59.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $59.44 / $86.90	Professional		$34.56	$59.44	$86.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $8.86 / $12.86	Professional	26	$5.34	$8.86	$12.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.22 / $48.51 / $66.62	Professional	TC	$29.22	$48.51	$66.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $46.51 / $105.21	Professional		$20.00	$46.51	$105.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $11.33 / $18.28	Professional	26	$5.60	$11.33	$18.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $38.92 / $90.24	Professional	TC	$27.17	$38.92	$90.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $77.70 / $121.50	Facility		$44.83	$77.70	$121.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $319.41 / $319.41 / $319.41	Facility	TC	$319.41	$319.41	$319.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $71.89 / $514.55	Professional		$41.61	$71.89	$514.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $12.63 / $87.52	Professional	26	$6.93	$12.63	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $59.44 / $439.92	Professional	TC	$34.79	$59.44	$439.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $49.61 / $96.30	Professional		$40.96	$49.61	$96.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $7.58 / $15.75	Professional	26	$6.82	$7.58	$15.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.94 / $38.76 / $74.95	Professional	TC	$33.94	$38.76	$74.95