Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.55 / $28.80 / $43.26	Facility	26	$23.55	$28.80	$43.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $56.10 / $89.73	Professional		$45.12	$56.10	$89.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $23.39 / $31.95	Professional	26	$16.92	$23.39	$31.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $27.40 / $56.82	Professional	TC	$23.78	$27.40	$56.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $38.36 / $77.34	Professional		$36.10	$38.36	$77.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $17.61 / $25.07	Professional	26	$17.44	$17.61	$25.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $29.16 / $30.33	Professional	TC	$29.16	$29.16	$30.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $71.29 / $141.00	Professional		$37.18	$71.29	$141.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.71 / $25.39 / $39.89	Professional	26	$17.71	$25.39	$39.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $35.06 / $106.00	Professional	TC	$18.79	$35.06	$106.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $115.00 / $115.00	Facility	26	$55.69	$115.00	$115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $94.78 / $575.66	Professional		$49.44	$94.78	$575.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $29.55 / $232.81	Professional	26	$18.13	$29.55	$232.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $76.65 / $398.91	Professional	TC	$24.18	$76.65	$398.91
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $61.19 / $108.93	Professional		$48.18	$61.19	$108.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $26.52 / $42.94	Professional	26	$19.67	$26.52	$42.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.36 / $33.78 / $84.94	Professional	TC	$23.36	$33.78	$84.94