Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.99 / $17.73 / $29.19	Facility	26	$14.99	$17.73	$29.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.10 / $55.06 / $121.06	Facility	TC	$33.10	$55.06	$121.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $40.15 / $48.72	Professional		$35.39	$40.15	$48.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $13.02 / $15.62	Professional	26	$12.53	$13.02	$15.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $28.39 / $38.07	Professional	TC	$22.85	$28.39	$38.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Professional		$33.40	$33.40	$33.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $9.71 / $9.80	Professional	26	$9.71	$9.71	$9.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $58.04 / $58.04	Professional		$58.04	$58.04	$58.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $53.77 / $75.26	Professional		$31.36	$53.77	$75.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $19.14 / $24.98	Professional	26	$11.14	$19.14	$24.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $36.04 / $56.72	Professional	TC	$20.30	$36.04	$56.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $30.85 / $70.00	Facility	26	$30.85	$30.85	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $61.48 / $131.69	Facility	TC	$61.48	$61.48	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $47.25 / $271.47	Professional		$40.56	$47.25	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $16.69 / $81.06	Professional	26	$14.05	$16.69	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.63 / $30.57 / $190.40	Professional	TC	$25.63	$30.57	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $41.78 / $66.98	Professional		$39.68	$41.78	$66.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $15.48 / $26.86	Professional	26	$14.05	$15.48	$26.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.93 / $30.04 / $51.46	Professional	TC	$24.93	$30.04	$51.46