Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $23.84	Facility	26	$12.02	$12.02	$23.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $54.86 / $61.72	Professional		$38.78	$54.86	$61.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $14.51 / $15.01	Professional	26	$9.91	$14.51	$15.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.86 / $39.85 / $46.78	Professional	TC	$28.86	$39.85	$46.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $61.73 / $61.73	Professional		$61.73	$61.73	$61.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $14.36 / $18.91	Professional	26	$11.21	$14.36	$18.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.79 / $52.79 / $52.79	Professional	TC	$52.79	$52.79	$52.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $56.35 / $77.38	Professional		$16.22	$56.35	$77.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $24.37 / $24.37	Facility	26	$24.37	$24.37	$24.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $52.44 / $80.58	Professional		$43.00	$52.44	$80.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $14.87 / $23.08	Professional	26	$12.82	$14.87	$23.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.18 / $38.40 / $58.99	Professional	TC	$30.18	$38.40	$58.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $70.00 / $70.00	Facility	26	$35.32	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $61.83 / $395.03	Professional		$49.38	$61.83	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $17.43 / $93.99	Professional	26	$13.88	$17.43	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.28 / $42.83 / $301.02	Professional	TC	$34.28	$42.83	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $59.91 / $90.69	Professional		$47.93	$59.91	$90.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.32 / $25.30	Professional	26	$13.80	$16.32	$25.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $42.83 / $69.87	Professional	TC	$33.79	$42.83	$69.87