Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.59 / $42.68 / $71.26	Facility	26	$26.59	$42.68	$71.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $46.74 / $189.00	Professional		$37.79	$46.74	$189.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $21.35 / $71.26	Professional	26	$17.78	$21.35	$71.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $27.91 / $57.56	Professional	TC	$16.44	$27.91	$57.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $41.08 / $41.08	Professional		$41.08	$41.08	$41.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $29.25 / $29.25	Professional	26	$29.25	$29.25	$29.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $48.26 / $52.48	Professional		$36.19	$48.26	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $17.46 / $18.98	Professional	26	$13.10	$17.46	$18.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $30.79 / $33.49	Professional	TC	$23.09	$30.79	$33.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $55.41 / $93.95	Professional		$37.72	$55.41	$93.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $26.03 / $43.77	Professional	26	$17.64	$26.03	$43.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $27.97 / $56.18	Professional	TC	$17.41	$27.97	$56.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $41.24 / $98.31	Facility	26	$41.24	$41.24	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $45.72 / $351.65	Professional		$33.47	$45.72	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.22 / $24.48 / $131.37	Professional	26	$17.22	$24.48	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.76 / $24.15 / $214.27	Professional	TC	$13.76	$24.15	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $43.70 / $87.62	Professional		$33.17	$43.70	$87.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $21.76 / $38.77	Professional	26	$16.82	$21.76	$38.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.20 / $22.77 / $46.92	Professional	TC	$13.20	$22.77	$46.92