Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $54.95 / $117.49	Professional		$23.99	$54.95	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $6.76 / $21.38	Professional	26	$5.01	$6.76	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $63.10	Professional	TC	$18.20	$25.12	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.49	Professional		$14.79	$14.79	$15.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $4.17 / $8.13	Professional	26	$3.16	$4.17	$8.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $40.74 / $95.50	Professional		$14.79	$40.74	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $8.13 / $30.90	Professional	26	$3.55	$8.13	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $48.98 / $64.57	Professional	TC	$11.48	$48.98	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $77.62	Facility		$27.54	$39.81	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $263.03	Professional		$19.05	$45.71	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $9.33 / $144.54	Professional	26	$4.37	$9.33	$144.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $39.81 / $223.87	Professional	TC	$14.45	$39.81	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $16.98 / $20.89	Facility		$4.17	$16.98	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $40.74 / $52.48	Professional		$19.05	$40.74	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $7.24 / $10.00	Professional	26	$4.37	$7.24	$10.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $31.62 / $44.67	Professional	TC	$14.45	$31.62	$44.67