Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $29.51 / $29.51	Facility	26	$22.91	$29.51	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $173.78	Professional		$53.70	$69.18	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $37.15	Professional	26	$15.85	$19.05	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $44.67 / $74.13	Professional	TC	$38.02	$44.67	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $77.62	Professional		$53.70	$64.57	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.42 / $22.39	Professional	26	$15.85	$20.42	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $194.98	Professional		$57.54	$85.11	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $57.54	Professional	26	$17.38	$24.55	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $57.54 / $138.04	Professional	TC	$38.90	$57.54	$138.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $416.87	Professional		$60.26	$79.43	$416.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $24.55 / $114.82	Professional	26	$19.05	$24.55	$114.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $54.95 / $302.00	Professional	TC	$42.66	$54.95	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $112.20	Professional		$61.66	$74.13	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $35.48	Professional	26	$19.05	$23.44	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $75.86	Professional	TC	$42.66	$51.29	$75.86