Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $19.05 / $79.43	Facility	26	$10.00	$19.05	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $75.86	Professional		$33.88	$43.65	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $30.90	Professional	26	$8.91	$12.02	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $52.48	Professional	TC	$23.99	$30.90	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $70.79	Professional		$29.51	$53.70	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $9.55 / $19.50	Professional	26	$9.33	$9.55	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $48.98 / $51.29	Professional	TC	$25.12	$48.98	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $43.65 / $60.26	Professional		$12.59	$43.65	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $19.05	Facility	26	$11.75	$11.75	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $75.86	Professional		$32.36	$43.65	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $21.88	Professional	26	$10.23	$12.88	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $51.29	Professional	TC	$21.88	$28.84	$51.29
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 $38.90 / $50.12 / $309.03	Professional		$38.90	$50.12	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.80 / $95.50	Professional	26	$11.75	$13.80	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $251.19	Professional	TC	$25.70	$33.11	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $66.07	Professional		$36.31	$44.67	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.88 / $19.50	Professional	26	$11.48	$12.88	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $30.90 / $46.77	Professional	TC	$24.55	$30.90	$46.77