Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $12.02 / $18.50	Facility	26	$8.34	$12.02	$18.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $36.29 / $59.14	Professional		$24.97	$36.29	$59.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.66 / $18.50	Professional	26	$7.66	$9.66	$18.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $24.97 / $40.64	Professional	TC	$17.37	$24.97	$40.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.86 / $42.01	Professional		$23.17	$26.86	$42.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $8.53 / $12.64	Professional	26	$6.98	$8.53	$12.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $16.59 / $16.59	Professional	TC	$16.59	$16.59	$16.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $41.55 / $67.97	Professional		$29.10	$41.55	$67.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.96 / $26.00	Professional	26	$8.11	$10.96	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $31.14 / $51.91	Professional	TC	$20.47	$31.14	$51.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $18.87 / $100.00	Facility	26	$18.87	$18.87	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $46.04 / $400.00	Professional		$36.09	$46.04	$400.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $11.40 / $132.09	Professional	26	$8.76	$11.40	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $34.72 / $135.32	Professional	TC	$27.43	$34.72	$135.32
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.60 / $64.23	Professional		$34.67	$43.60	$64.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $10.71 / $20.83	Professional	26	$8.66	$10.71	$20.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $32.69 / $46.14	Professional	TC	$26.61	$32.69	$46.14