Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $28.43 / $35.54	Facility	26	$11.75	$28.43	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $31.23 / $58.77	Professional		$22.97	$31.23	$58.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.13 / $12.99	Professional	26	$6.64	$8.13	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.11 / $42.99	Professional	TC	$16.32	$23.11	$42.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $28.20 / $30.65	Professional		$22.25	$28.20	$30.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $14.73 / $14.73	Professional	26	$6.48	$14.73	$14.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $17.60	Professional	TC	$17.60	$17.60	$17.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $28.18 / $35.22	Professional		$24.66	$28.18	$35.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $6.63 / $8.28	Professional	26	$5.80	$6.63	$8.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $21.55 / $26.94	Professional	TC	$18.86	$21.55	$26.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $38.21 / $62.76	Professional		$27.03	$38.21	$62.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.01 / $17.95	Professional	26	$7.08	$10.01	$17.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $27.11 / $45.14	Professional	TC	$19.55	$27.11	$45.14
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 $29.52 / $32.03 / $208.83	Professional		$29.52	$32.03	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $9.02 / $66.04	Professional	26	$7.96	$9.02	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.84 / $23.49 / $188.00	Professional	TC	$20.84	$23.49	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $31.40 / $53.95	Professional		$28.70	$31.40	$53.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $9.02 / $15.13	Professional	26	$7.96	$9.02	$15.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $23.18 / $42.11	Professional	TC	$20.77	$23.18	$42.11