Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.68 / $36.77 / $49.91	Facility	26	$15.68	$36.77	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $41.33 / $115.84	Professional		$29.22	$41.33	$115.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $11.23 / $26.04	Professional	26	$9.49	$11.23	$26.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $28.81 / $55.29	Professional	TC	$21.08	$28.81	$55.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.11 / $44.14	Professional		$30.00	$38.11	$44.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $16.11 / $27.47	Professional	26	$9.16	$16.11	$27.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $38.02 / $47.52	Professional		$33.26	$38.02	$47.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $9.57 / $11.96	Professional	26	$8.36	$9.57	$11.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $28.45 / $35.56	Professional	TC	$24.89	$28.45	$35.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $48.55 / $80.31	Professional		$34.24	$48.55	$80.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.48 / $24.90	Professional	26	$9.94	$14.48	$24.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $32.88 / $55.41	Professional	TC	$23.68	$32.88	$55.41
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 $37.74 / $42.95 / $282.36	Professional		$37.74	$42.95	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $12.99 / $90.81	Professional	26	$11.64	$12.99	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $30.53 / $211.00	Professional	TC	$25.15	$30.53	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $42.95 / $78.76	Professional		$36.72	$42.95	$78.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $12.99 / $23.82	Professional	26	$11.55	$12.99	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.06 / $29.96 / $48.29	Professional	TC	$25.06	$29.96	$48.29