Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.89 / $22.98 / $38.24	Facility	26	$17.89	$22.98	$38.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $115.56 / $421.00	Professional		$74.18	$115.56	$421.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.65 / $57.00	Professional	26	$10.68	$12.65	$57.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.09 / $45.91 / $285.48	Professional	52	$37.09	$45.91	$285.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.51 / $104.07 / $169.10	Professional	TC	$63.51	$104.07	$169.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $69.54 / $108.18	Professional		$61.82	$69.54	$108.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $9.31 / $15.57	Professional	26	$3.89	$9.31	$15.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $81.95 / $102.44	Professional		$61.46	$81.95	$102.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $11.66 / $14.57	Professional	26	$8.74	$11.66	$14.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.72 / $70.30 / $87.87	Professional	TC	$52.72	$70.30	$87.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.54 / $13.54 / $13.54	Facility	26	$13.54	$13.54	$13.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $121.42 / $184.57	Professional		$80.37	$121.42	$184.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $14.77 / $27.33	Professional	26	$11.46	$14.77	$27.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.45 / $106.89 / $164.03	Professional	TC	$68.45	$106.89	$164.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $125.86 / $125.86	Facility	26	$27.12	$125.86	$125.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $124.26 / $768.54	Professional		$78.43	$124.26	$768.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $14.35 / $267.48	Professional	26	$11.16	$14.35	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.31 / $109.14 / $698.48	Professional	TC	$67.31	$109.14	$698.48
United Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $110.44 / $172.37	Professional		$77.95	$110.44	$172.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $13.31 / $23.04	Professional	26	$10.85	$13.31	$23.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.28 / $97.64 / $152.63	Professional	TC	$65.28	$97.64	$152.63