Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $25.12 / $30.20	Facility	26	$14.79	$25.12	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $154.88	Professional		$25.12	$48.98	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $12.30 / $36.31	Professional	26	$6.46	$12.30	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $66.07	Professional	TC	$15.85	$23.99	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $33.11	Professional		$16.98	$24.55	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $7.41 / $12.88	Professional	26	$5.37	$7.41	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $57.54	Professional		$29.51	$33.11	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.00 / $17.38	Professional	26	$8.91	$10.00	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.91 / $39.81	Professional	TC	$20.42	$22.91	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.74 / $8.13 / $11.48	Facility	26	$1.74	$8.13	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $61.66	Professional		$26.92	$38.90	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $16.22	Professional	26	$7.08	$9.33	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $47.86	Professional	TC	$19.05	$30.90	$47.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $104.71 / $104.71	Facility	26	$19.50	$104.71	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $645.65	Professional		$24.55	$39.81	$645.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $229.09	Professional	26	$6.61	$9.55	$229.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $537.03	Professional	TC	$17.78	$29.51	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $54.95	Professional		$23.44	$32.36	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.13 / $13.18	Professional	26	$6.46	$8.13	$13.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $41.69	Professional	TC	$16.98	$23.44	$41.69