Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $98.53 / $123.46	Professional		$44.91	$98.53	$123.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $47.79 / $61.03	Professional	26	$17.18	$47.79	$61.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $47.77 / $61.79	Professional	TC	$26.38	$47.77	$61.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $57.96 / $57.96	Professional		$57.96	$57.96	$57.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $23.08 / $35.90	Professional	26	$12.57	$23.08	$35.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $34.88 / $34.88	Professional	TC	$34.88	$34.88	$34.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $46.81 / $52.66	Professional		$29.26	$46.81	$52.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $19.57 / $22.01	Professional	26	$12.23	$19.57	$22.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $27.24 / $30.65	Professional	TC	$17.03	$27.24	$30.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $62.57 / $135.31	Professional		$32.28	$62.57	$135.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $30.35 / $74.89	Professional	26	$13.07	$30.35	$74.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $29.86 / $58.29	Professional	TC	$18.19	$29.86	$58.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $87.59 / $137.86	Facility		$63.00	$87.59	$137.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.18 / $234.18 / $234.18	Facility	26	$234.18	$234.18	$234.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $186.22 / $186.22 / $186.22	Facility	TC	$186.22	$186.22	$186.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $68.56 / $641.00	Professional		$41.14	$68.56	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $33.20 / $513.00	Professional	26	$17.32	$33.20	$513.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.70 / $312.17	Professional	TC	$23.82	$39.70	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $63.08 / $106.40	Professional		$40.46	$63.08	$106.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.87 / $37.20	Professional	26	$16.98	$28.87	$37.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $30.47 / $50.91	Professional	TC	$23.82	$30.47	$50.91