Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $47.86 / $60.26	Facility	26	$24.55	$47.86	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $141.25	Professional		$36.31	$52.48	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $44.67	Professional	26	$10.00	$16.60	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $97.72	Professional	TC	$25.12	$34.67	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $44.67	Professional		$30.20	$34.67	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.77 / $12.02	Professional	26	$9.33	$9.77	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $58.88	Professional	TC	$20.42	$25.12	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $81.28	Professional		$35.48	$44.67	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $19.50	Professional	26	$8.71	$10.96	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $61.66	Professional	TC	$26.92	$33.88	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $89.13	Professional		$37.15	$51.29	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $26.92	Professional	26	$10.23	$14.45	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $35.48 / $66.07	Professional	TC	$25.70	$35.48	$66.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $100.00 / $100.00	Facility	26	$29.51	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $309.03	Professional		$40.74	$47.86	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.80 / $95.50	Professional	26	$12.02	$13.80	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.88 / $251.19	Professional	TC	$28.18	$33.88	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $67.61	Professional		$39.81	$46.77	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.80 / $20.42	Professional	26	$11.48	$13.80	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $47.86	Professional	TC	$28.18	$33.11	$47.86