Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $48.29 / $77.00	Professional		$34.15	$48.29	$77.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $20.71 / $25.05	Professional	26	$15.11	$20.71	$25.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $26.42 / $51.24	Professional	TC	$19.04	$26.42	$51.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $53.28 / $53.28	Professional		$37.74	$53.28	$53.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $13.66 / $13.66	Professional	26	$13.66	$13.66	$13.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $47.70	Professional		$37.60	$37.60	$47.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $16.42 / $19.60	Professional	26	$16.42	$16.42	$19.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $21.19 / $25.30	Professional	TC	$21.19	$21.19	$25.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $53.32 / $94.09	Professional		$38.01	$53.32	$94.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $20.78 / $33.11	Professional	26	$17.07	$20.78	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $32.57 / $62.36	Professional	TC	$21.48	$32.57	$62.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $100.00 / $100.00	Facility	26	$47.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $59.84 / $339.23	Professional		$41.11	$59.84	$339.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $21.96 / $128.44	Professional	26	$18.30	$21.96	$128.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $39.10 / $221.35	Professional	TC	$22.40	$39.10	$221.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $57.12 / $77.44	Professional		$40.50	$57.12	$77.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $20.74 / $34.17	Professional	26	$18.02	$20.74	$34.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $32.94 / $50.43	Professional	TC	$22.20	$32.94	$50.43