Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $36.31 / $40.74	Facility	26	$29.51	$36.31	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $100.00	Professional		$23.99	$33.88	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.33 / $25.70	Professional	26	$6.03	$9.33	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $64.57	Professional	TC	$16.98	$23.99	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $27.54	Professional		$20.42	$24.55	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $6.17 / $10.00	Professional	26	$4.07	$6.17	$10.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $17.78 / $34.67	Professional	TC	$17.38	$17.78	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $56.23	Professional		$24.55	$30.90	$56.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.24 / $13.18	Professional	26	$5.75	$7.24	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.44 / $42.66	Professional	TC	$19.05	$23.44	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $64.57	Professional		$25.70	$36.31	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.77 / $18.20	Professional	26	$6.92	$9.77	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $48.98	Professional	TC	$19.05	$26.92	$48.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $208.93	Professional		$29.51	$33.11	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.12 / $66.07	Professional	26	$7.94	$9.12	$66.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.44 / $186.21	Professional	TC	$20.89	$23.44	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $46.77	Professional		$28.84	$31.62	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.12 / $13.80	Professional	26	$7.59	$9.12	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.91 / $34.67	Professional	TC	$20.42	$22.91	$34.67