Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $13.80 / $74.13	Facility	26	$8.91	$13.80	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $60.26	Professional		$28.84	$39.81	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $28.18	Professional	26	$8.91	$10.96	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $46.77	Professional	TC	$21.88	$28.84	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $64.57	Professional		$27.54	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $9.12 / $15.85	Professional	26	$8.91	$9.12	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	TC	$33.11	$33.11	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $39.81 / $54.95	Professional		$12.02	$39.81	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $18.20	Facility	26	$11.48	$11.48	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $70.79	Professional		$30.20	$38.90	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $20.89	Professional	26	$10.00	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $45.71	Professional	TC	$19.95	$26.30	$45.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $100.00 / $100.00	Facility	26	$28.18	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $281.84	Professional		$35.48	$45.71	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $91.20	Professional	26	$10.96	$13.18	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $208.93	Professional	TC	$23.44	$30.20	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $60.26	Professional		$33.11	$40.74	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.30 / $18.20	Professional	26	$10.72	$12.30	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $42.66	Professional	TC	$22.39	$28.18	$42.66