Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.18 / $10.86 / $62.27	Facility	26	$8.18	$10.86	$62.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $32.24 / $36.67	Professional		$22.03	$32.24	$36.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $9.58 / $10.75	Professional	26	$6.79	$9.58	$10.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $22.48 / $25.49	Professional	TC	$15.23	$22.48	$25.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $12.64 / $18.70	Professional	26	$12.64	$12.64	$18.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $27.69 / $27.69	Professional	TC	$27.69	$27.69	$27.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $31.85 / $43.73	Professional		$10.15	$31.85	$43.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $10.08 / $16.12	Facility	26	$10.08	$10.08	$16.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $30.77 / $51.09	Professional		$28.02	$30.77	$51.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $10.70 / $16.82	Professional	26	$8.99	$10.70	$16.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $20.45 / $35.19	Professional	TC	$18.27	$20.45	$35.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.72 / $100.00 / $100.00	Facility	26	$23.72	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $39.85 / $223.92	Professional		$29.45	$39.85	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $11.61 / $92.47	Professional	26	$9.74	$11.61	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $25.77 / $211.00	Professional	TC	$18.77	$25.77	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $34.64 / $52.66	Professional		$28.02	$34.64	$52.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $10.63 / $19.12	Professional	26	$9.57	$10.63	$19.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $24.58 / $35.19	Professional	TC	$18.77	$24.58	$35.19