Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $27.26 / $37.01	Facility	26	$12.24	$27.26	$37.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $31.21 / $66.17	Professional		$21.73	$31.21	$66.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $8.16 / $17.98	Professional	26	$6.37	$8.16	$17.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.63 / $21.30 / $39.53	Professional	TC	$15.63	$21.30	$39.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $28.79 / $28.79	Professional		$22.72	$28.79	$28.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $12.00 / $12.00	Professional	26	$10.11	$12.00	$12.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $28.75 / $35.94	Professional		$25.16	$28.75	$35.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $6.90 / $8.63	Professional	26	$6.04	$6.90	$8.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $21.85 / $27.31	Professional	TC	$19.12	$21.85	$27.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $34.89 / $58.30	Professional		$25.45	$34.89	$58.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.06 / $17.27	Professional	26	$7.24	$10.06	$17.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $24.07 / $41.40	Professional	TC	$17.53	$24.07	$41.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $31.40 / $208.77	Professional		$26.69	$31.40	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $8.84 / $82.56	Professional	26	$8.17	$8.84	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $22.74 / $153.47	Professional	TC	$18.95	$22.74	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $31.40 / $50.70	Professional		$26.18	$31.40	$50.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.66 / $15.84	Professional	26	$7.92	$8.66	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $22.74 / $36.60	Professional	TC	$18.19	$22.74	$36.60