Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $31.62 / $181.97	Facility	26	$22.91	$31.62	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $120.23	Professional		$51.29	$70.79	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $46.77	Professional	26	$22.91	$28.18	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $213.80 / $257.04	Professional	50	$66.07	$213.80	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $56.23	Professional	TC	$26.92	$38.02	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $102.33	Professional		$47.86	$52.48	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	26	$47.86	$47.86	$47.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	TC	$33.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $85.11	Professional		$29.51	$63.10	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $42.66	Facility	26	$25.12	$25.12	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $120.23	Professional		$56.23	$72.44	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $48.98	Professional	26	$22.91	$28.84	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $72.44	Professional	TC	$30.20	$41.69	$72.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $134.90 / $134.90	Facility	26	$69.18	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $501.19	Professional		$58.88	$83.18	$501.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $33.11 / $323.59	Professional	26	$26.92	$33.11	$323.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $51.29 / $323.59	Professional	TC	$30.90	$51.29	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $109.65	Professional		$57.54	$70.79	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.90 / $44.67	Professional	26	$25.70	$30.90	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $39.81 / $63.10	Professional	TC	$30.90	$39.81	$63.10