Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $12.00 / $18.82	Facility	26	$8.07	$12.00	$18.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $39.86 / $70.68	Professional		$27.60	$39.86	$70.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $12.15 / $15.63	Professional	26	$7.78	$12.15	$15.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $25.51 / $63.35	Professional	TC	$17.14	$25.51	$63.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Professional	26	$18.82	$18.82	$18.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $39.54 / $54.31	Professional		$15.05	$39.54	$54.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.31	Facility	26	$7.79	$7.79	$12.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $55.40 / $88.12	Professional		$36.22	$55.40	$88.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $12.52 / $20.27	Professional	26	$7.79	$12.52	$20.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $39.99 / $75.53	Professional	TC	$22.47	$39.99	$75.53
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $100.00 / $100.00	Facility	26	$34.79	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $57.07 / $475.98	Professional		$38.33	$57.07	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $15.09 / $211.35	Professional	26	$7.96	$15.09	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $41.69 / $429.40	Professional	TC	$23.23	$41.69	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $48.98 / $91.66	Professional		$37.04	$48.98	$91.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $13.82 / $22.84	Professional	26	$7.96	$13.82	$22.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $33.19 / $83.11	Professional	TC	$23.23	$33.19	$83.11