Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $52.61 / $65.72	Professional		$47.28	$52.61	$65.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.17 / $32.99 / $39.89	Professional	26	$27.17	$32.99	$39.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $19.39 / $30.53	Professional	TC	$16.67	$19.39	$30.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $16.07 / $54.05	Professional	26	$16.07	$16.07	$54.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $80.26 / $142.80	Professional		$80.26	$80.26	$142.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $63.28 / $108.65	Professional		$27.72	$63.28	$108.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $42.50 / $68.67	Professional	26	$18.35	$42.50	$68.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.36 / $26.63 / $38.22	Professional	TC	$9.36	$26.63	$38.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $76.91 / $473.28	Professional		$49.97	$76.91	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.31 / $48.79 / $346.00	Professional	26	$29.31	$48.79	$346.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $25.13 / $330.22	Professional	TC	$18.07	$25.13	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $57.02 / $78.45	Professional		$35.54	$57.02	$78.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $37.02 / $52.54	Professional	26	$22.52	$37.02	$52.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $19.48 / $25.64	Professional	TC	$11.69	$19.48	$25.64