Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $11.18 / $17.52	Facility	26	$9.43	$11.18	$17.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.76 / $97.90	Professional		$35.09	$41.76	$97.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $9.92 / $15.69	Professional	26	$9.02	$9.92	$15.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $31.03 / $85.12	Professional	TC	$26.39	$31.03	$85.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $29.24	Professional		$27.96	$27.96	$29.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $7.30 / $10.01	Professional	26	$6.96	$7.30	$10.01
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $34.14 / $34.14	Professional	TC	$22.32	$34.14	$34.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $97.36 / $97.36	Professional		$97.36	$97.36	$97.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $62.82 / $130.00	Professional		$31.65	$62.82	$130.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.75 / $18.14	Professional	26	$8.52	$13.75	$18.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $50.28 / $113.00	Professional	TC	$25.11	$50.28	$113.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.20 / $39.20 / $80.00	Facility	26	$39.20	$39.20	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $67.70 / $539.95	Professional		$41.36	$67.70	$539.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $12.59 / $97.55	Professional	26	$7.43	$12.59	$97.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.68 / $60.27 / $492.53	Professional	TC	$30.68	$60.27	$492.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $57.71 / $124.87	Professional		$39.50	$57.71	$124.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $10.68 / $18.28	Professional	26	$7.43	$10.68	$18.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.30 / $44.92 / $112.80	Professional	TC	$29.30	$44.92	$112.80