Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.60 / $17.26 / $26.21	Facility	26	$14.60	$17.26	$26.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $53.26 / $84.25	Professional		$40.43	$53.26	$84.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $18.37 / $31.08	Professional	26	$14.59	$18.37	$31.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $30.83 / $47.72	Professional	TC	$25.83	$30.83	$47.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $19.55 / $19.55	Professional	26	$19.55	$19.55	$19.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $49.70 / $68.25	Professional		$18.43	$49.70	$68.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.28 / $25.28 / $29.10	Facility	26	$25.28	$25.28	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $70.92 / $104.46	Professional		$51.64	$70.92	$104.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.91 / $24.90 / $30.28	Professional	26	$18.91	$24.90	$30.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.06 / $46.90 / $64.26	Professional	TC	$33.06	$46.90	$64.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $128.36 / $128.36	Facility	26	$41.47	$128.36	$128.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $69.62 / $604.11	Professional		$48.73	$69.62	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $22.95 / $456.30	Professional	26	$16.32	$22.95	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.09 / $55.04 / $388.70	Professional	TC	$31.09	$55.04	$388.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $64.18 / $111.07	Professional		$45.85	$64.18	$111.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $20.04 / $29.71	Professional	26	$15.96	$20.04	$29.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.37 / $38.36 / $82.56	Professional	TC	$30.37	$38.36	$82.56