Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $38.90 / $75.86	Facility	26	$25.70	$38.90	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Professional		$30.90	$43.65	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $38.90	Professional	26	$19.95	$25.12	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $18.20 / $52.48	Professional	TC	$12.02	$18.20	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $29.51	Professional	26	$17.78	$22.91	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $100.00	Professional		$52.48	$52.48	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $120.23	Professional		$44.67	$77.62	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $46.77	Professional	26	$23.44	$32.36	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $50.12 / $77.62	Professional	TC	$26.92	$50.12	$77.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $436.52	Professional		$46.77	$93.33	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $338.84	Professional	26	$23.99	$33.11	$338.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $57.54 / $338.84	Professional	TC	$22.91	$57.54	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $102.33	Professional		$46.77	$79.43	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $39.81	Professional	26	$23.99	$32.36	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $40.74 / $66.07	Professional	TC	$22.91	$40.74	$66.07