Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $41.69 / $128.82	Facility	26	$10.72	$41.69	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $245.47	Professional		$30.90	$60.26	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $38.90	Professional	26	$7.94	$11.48	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $41.69 / $173.78	Professional	TC	$21.88	$41.69	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $53.70	Professional		$25.70	$31.62	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.91 / $15.14	Professional	26	$6.92	$8.91	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $24.55 / $45.71	Professional	TC	$21.88	$24.55	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $81.28	Professional		$35.48	$44.67	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $19.50	Professional	26	$8.51	$10.47	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.88 / $61.66	Professional	TC	$27.54	$33.88	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $128.82	Professional		$33.11	$56.23	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $20.42	Professional	26	$7.94	$11.75	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $46.77 / $112.20	Professional	TC	$23.99	$46.77	$112.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $79.43 / $79.43	Facility	26	$38.90	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $537.03	Professional		$29.51	$54.95	$537.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $97.72	Professional	26	$7.41	$9.55	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $44.67 / $489.78	Professional	TC	$21.88	$44.67	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $91.20	Professional		$29.51	$47.86	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.59 / $15.85	Professional	26	$7.24	$7.59	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $72.44	Professional	TC	$21.88	$36.31	$72.44