Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $17.38 / $23.99	Facility	26	$12.02	$17.38	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $70.79	Professional		$33.11	$44.67	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $25.70	Professional	26	$7.94	$10.96	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $50.12	Professional	TC	$21.88	$32.36	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $17.38	Professional	26	$7.94	$10.72	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $25.70 / $36.31	Professional	TC	$23.99	$25.70	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $79.43	Professional		$29.51	$54.95	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $23.44	Professional	26	$9.12	$14.13	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $70.79	Professional	TC	$23.99	$42.66	$70.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $100.00	Facility	26	$25.12	$25.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $263.03	Professional		$38.90	$52.48	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.80 / $117.49	Professional	26	$10.23	$13.80	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $199.53	Professional	TC	$27.54	$38.90	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $66.07	Professional		$38.02	$46.77	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.30 / $19.05	Professional	26	$10.23	$12.30	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $36.31 / $47.86	Professional	TC	$26.92	$36.31	$47.86