Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $10.50 / $19.79	Facility	26	$10.08	$10.50	$19.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $26.06 / $32.60	Professional		$22.48	$26.06	$32.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $8.66 / $13.55	Professional	26	$7.95	$8.66	$13.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.08 / $16.32 / $22.66	Professional	TC	$14.08	$16.32	$22.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $6.43 / $11.72	Professional	26	$6.41	$6.43	$11.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Professional		$46.00	$46.00	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $35.03 / $47.02	Professional		$17.34	$35.03	$47.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $12.57 / $16.23	Professional	26	$7.74	$12.57	$16.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.53 / $35.76	Professional	TC	$16.32	$23.53	$35.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $20.23 / $100.00	Facility	26	$20.23	$20.23	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $34.63 / $203.00	Professional		$28.08	$34.63	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $11.11 / $84.21	Professional	26	$8.31	$11.11	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $23.71 / $165.00	Professional	TC	$18.54	$23.71	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $30.27 / $47.86	Professional		$27.37	$30.27	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.93 / $17.88	Professional	26	$8.31	$9.93	$17.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $20.65 / $33.95	Professional	TC	$18.00	$20.65	$33.95