Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.58 / $89.22 / $148.94	Facility	26	$55.58	$89.22	$148.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $86.71 / $319.00	Professional		$61.28	$86.71	$319.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.88 / $113.88 / $113.88	Professional	25	$113.88	$113.88	$113.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $43.03 / $201.00	Professional	26	$33.90	$43.03	$201.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $38.29 / $77.73	Professional	TC	$22.57	$38.29	$77.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $69.98 / $95.77	Professional		$62.62	$69.98	$95.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.26 / $43.26 / $43.26	Professional	26	$43.26	$43.26	$43.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $77.78 / $84.59	Professional		$58.34	$77.78	$84.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.20 / $36.27 / $39.45	Professional	26	$27.20	$36.27	$39.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.13 / $41.51 / $45.14	Professional	TC	$31.13	$41.51	$45.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $89.20 / $159.80	Professional		$61.74	$89.20	$159.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $49.79 / $86.52	Professional	26	$36.54	$49.79	$86.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $37.85 / $75.69	Professional	TC	$23.35	$37.85	$75.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $174.72	Facility	26	$85.71	$85.71	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $73.20 / $568.04	Professional		$54.25	$73.20	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $44.40 / $236.22	Professional	26	$33.18	$44.40	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.59 / $32.54 / $285.88	Professional	TC	$18.59	$32.54	$285.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $71.28 / $137.84	Professional		$52.20	$71.28	$137.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.07 / $41.35 / $74.40	Professional	26	$33.07	$41.35	$74.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $30.69 / $68.80	Professional	TC	$18.29	$30.69	$68.80