Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $45.71	Professional		$10.96	$17.78	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $4.37 / $7.08	Professional	26	$3.02	$4.37	$7.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $10.00 / $25.12	Professional	TC	$7.94	$10.00	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $4.37 / $6.76	Professional	26	$1.95	$4.37	$6.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $19.95 / $45.71	Professional		$7.76	$19.95	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $5.37 / $15.14	Professional	26	$2.29	$5.37	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $20.42 / $30.90	Professional	TC	$5.50	$20.42	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.05 / $40.74	Facility		$13.49	$19.05	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.39 / $123.03	Professional		$9.55	$22.39	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $6.17 / $87.10	Professional	26	$2.82	$6.17	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $17.78 / $97.72	Professional	TC	$6.76	$17.78	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $7.76 / $10.47	Facility		$2.75	$7.76	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.42 / $25.70	Professional		$9.55	$20.42	$25.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $4.68 / $6.61	Professional	26	$2.82	$4.68	$6.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $14.45 / $19.50	Professional	TC	$6.76	$14.45	$19.50