Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $13.30 / $18.69	Facility	26	$8.46	$13.30	$18.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.00 / $42.81	Professional		$23.96	$35.00	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $9.88 / $12.35	Professional	26	$7.02	$9.88	$12.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $24.91 / $28.33	Professional	TC	$16.94	$24.91	$28.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $57.18	Professional		$57.18	$57.18	$57.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $13.07 / $16.45	Professional	26	$7.75	$13.07	$16.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $28.33 / $28.33	Professional	TC	$28.33	$28.33	$28.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $34.65 / $47.58	Professional		$10.50	$34.65	$47.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.11 / $11.11 / $18.30	Facility	26	$11.11	$11.11	$18.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $33.94 / $55.06	Professional		$30.02	$33.94	$55.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $11.67 / $18.09	Professional	26	$9.30	$11.67	$18.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $22.66 / $37.94	Professional	TC	$20.02	$22.66	$37.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $100.00 / $100.00	Facility	26	$24.59	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.31 / $262.00	Professional		$32.34	$43.31	$262.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $12.47 / $107.32	Professional	26	$10.05	$12.47	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $29.18 / $249.00	Professional	TC	$21.05	$29.18	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $40.24 / $59.39	Professional		$31.59	$40.24	$59.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.75 / $18.57	Professional	26	$9.82	$11.75	$18.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $26.39 / $40.99	Professional	TC	$20.50	$26.39	$40.99