Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $10.36 / $16.13	Facility	26	$7.90	$10.36	$16.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $28.51 / $31.15	Professional		$20.09	$28.51	$31.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $8.91 / $9.89	Professional	26	$6.57	$8.91	$9.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.53 / $19.57 / $21.27	Professional	TC	$13.53	$19.57	$21.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.00 / $7.00	Professional	26	$7.00	$7.00	$7.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $29.05 / $39.89	Professional		$10.01	$29.05	$39.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $9.78 / $15.47	Facility	26	$9.78	$9.78	$15.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $28.41 / $44.86	Professional		$23.07	$28.41	$44.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $10.35 / $16.05	Professional	26	$8.24	$10.35	$16.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.90 / $18.82 / $30.50	Professional	TC	$13.90	$18.82	$30.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $80.00 / $80.00	Facility	26	$22.21	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $35.96 / $197.88	Professional		$24.63	$35.96	$197.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $10.47 / $232.03	Professional	26	$7.85	$10.47	$232.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $22.37 / $142.29	Professional	TC	$13.49	$22.37	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $30.54 / $54.00	Professional		$21.54	$30.54	$54.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $9.97 / $17.89	Professional	26	$7.48	$9.97	$17.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.62 / $20.80 / $37.79	Professional	TC	$12.62	$20.80	$37.79