Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $138.04	Professional		$27.54	$36.31	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $57.54	Professional	26	$7.94	$13.80	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $42.66	Professional	TC	$19.95	$28.84	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $26.30	Professional		$18.62	$19.05	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $5.13 / $14.45	Professional	26	$4.90	$5.13	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $38.02 / $52.48	Professional		$11.22	$38.02	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $58.88 / $83.18	Professional		$19.05	$58.88	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $13.49 / $32.36	Professional	26	$5.13	$13.49	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.99 / $67.61	Professional	TC	$13.18	$23.99	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $81.28	Facility		$29.51	$52.48	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $363.08	Professional		$24.55	$52.48	$363.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.18 / $190.55	Professional	26	$7.08	$13.18	$190.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $44.67 / $269.15	Professional	TC	$17.38	$44.67	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $33.11	Facility		$13.18	$19.95	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $83.18	Professional		$24.55	$41.69	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.72 / $19.05	Professional	26	$6.17	$10.72	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.20 / $57.54	Professional	TC	$17.38	$30.20	$57.54