Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.26 / $47.42 / $61.95	Facility	26	$44.26	$47.42	$61.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $79.84 / $117.81	Professional		$54.66	$79.84	$117.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $36.88 / $55.29	Professional	26	$28.00	$36.88	$55.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $42.97 / $62.52	Professional	TC	$20.19	$42.97	$62.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $70.13 / $77.92	Professional		$55.74	$70.13	$77.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.69 / $33.01 / $33.01	Professional	26	$26.69	$33.01	$33.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $93.79 / $93.79	Professional		$75.03	$93.79	$93.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $86.82 / $133.02	Professional		$56.17	$86.82	$133.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.40 / $47.38 / $76.43	Professional	26	$35.40	$47.38	$76.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $38.19 / $71.59	Professional	TC	$19.86	$38.19	$71.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $72.78 / $145.80	Facility	26	$72.78	$72.78	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $75.65 / $486.90	Professional		$61.54	$75.65	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $45.00 / $196.52	Professional	26	$33.59	$45.00	$196.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $31.45 / $244.63	Professional	TC	$22.89	$31.45	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $75.65 / $112.83	Professional		$60.78	$75.65	$112.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.43 / $43.27 / $67.84	Professional	26	$33.43	$43.27	$67.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $30.31 / $58.88	Professional	TC	$21.53	$30.31	$58.88