Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.38 / $21.83 / $32.27	Facility	26	$16.38	$21.83	$32.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $60.80 / $88.00	Professional		$58.98	$60.80	$88.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $15.71 / $22.21	Professional	26	$13.92	$15.71	$22.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.99 / $50.93 / $65.23	Professional	TC	$44.99	$50.93	$65.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $10.71 / $15.27	Professional	26	$10.62	$10.71	$15.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $54.33 / $54.33 / $54.33	Professional	TC	$54.33	$54.33	$54.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $93.79 / $93.79	Professional		$93.79	$93.79	$93.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $80.48 / $111.10	Professional		$43.40	$80.48	$111.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $21.85 / $32.26	Professional	26	$15.13	$21.85	$32.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $63.61 / $92.87	Professional	TC	$34.46	$63.61	$92.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $33.82 / $126.00	Facility	26	$33.82	$33.82	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $72.31 / $399.42	Professional		$59.95	$72.31	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $21.60 / $137.04	Professional	26	$15.64	$21.60	$137.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.79 / $52.47 / $356.00	Professional	TC	$43.79	$52.47	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $66.37 / $102.46	Professional		$58.84	$66.37	$102.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.48 / $17.38 / $29.60	Professional	26	$15.48	$17.38	$29.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.36 / $49.23 / $72.30	Professional	TC	$43.36	$49.23	$72.30