Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.16 / $31.77 / $31.77	Facility	26	$15.16	$31.77	$31.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $57.86 / $86.94	Professional		$46.93	$57.86	$86.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $13.02 / $19.32	Professional	26	$12.63	$13.02	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $43.49 / $65.76	Professional	TC	$34.14	$43.49	$65.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $45.04 / $45.04	Professional		$42.07	$45.04	$45.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $14.16 / $14.16	Professional	26	$9.85	$14.16	$14.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.95 / $53.95 / $53.95	Professional	TC	$53.95	$53.95	$53.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Professional		$74.56	$74.56	$74.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $73.78 / $106.29	Professional		$42.47	$73.78	$106.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.14 / $25.64	Professional	26	$11.48	$19.14	$25.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.27 / $54.06 / $89.65	Professional	TC	$30.27	$54.06	$89.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $31.19 / $70.00	Facility	26	$31.19	$31.19	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $63.78 / $379.94	Professional		$53.54	$63.78	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $17.03 / $83.23	Professional	26	$14.07	$17.03	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $46.85 / $296.70	Professional	TC	$38.06	$46.85	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $58.89 / $96.32	Professional		$53.54	$58.89	$96.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $15.58 / $24.70	Professional	26	$14.05	$15.58	$24.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $42.59 / $72.30	Professional	TC	$38.06	$42.59	$72.30