Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.80 / $9.47 / $12.96	Facility	26	$6.80	$9.47	$12.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $30.00 / $33.76	Professional		$20.48	$30.00	$33.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $8.02 / $8.94	Professional	26	$5.67	$8.02	$8.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $21.87 / $24.29	Professional	TC	$14.81	$21.87	$24.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.22 / $13.17	Professional	26	$6.22	$6.22	$13.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.95 / $26.95 / $26.95	Professional	TC	$26.95	$26.95	$26.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $29.75 / $40.85	Professional		$8.40	$29.75	$40.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $27.91 / $44.71	Professional		$24.02	$27.91	$44.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $8.25 / $13.04	Professional	26	$7.25	$8.25	$13.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $19.89 / $31.67	Professional	TC	$16.23	$19.89	$31.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $35.26 / $208.83	Professional		$26.69	$35.26	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.06 / $66.04	Professional	26	$7.67	$9.06	$66.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $23.12 / $188.00	Professional	TC	$17.89	$23.12	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $30.47 / $48.00	Professional		$25.56	$30.47	$48.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.56 / $13.53	Professional	26	$7.67	$8.56	$13.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $23.12 / $33.57	Professional	TC	$17.73	$23.12	$33.57