Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.86 / $45.19 / $57.04	Facility	26	$18.86	$45.19	$57.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $42.83 / $46.29 / $129.50	Facility	TC	$42.83	$46.29	$129.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $47.25 / $93.88	Professional		$35.19	$47.25	$93.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $15.33 / $36.47	Professional	26	$11.36	$15.33	$36.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $31.92 / $58.81	Professional	TC	$21.90	$31.92	$58.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $39.02 / $45.05	Professional		$30.69	$39.02	$45.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $12.72 / $23.85	Professional	26	$10.18	$12.72	$23.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $38.78 / $48.48	Professional		$33.94	$38.78	$48.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $10.64 / $13.30	Professional	26	$9.31	$10.64	$13.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $28.14 / $35.18	Professional	TC	$24.63	$28.14	$35.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $58.48 / $94.67	Professional		$37.40	$58.48	$94.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $18.88 / $33.90	Professional	26	$11.36	$18.88	$33.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.04 / $37.90 / $62.26	Professional	TC	$26.04	$37.90	$62.26
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 Facility Modifier TC Low / Median / High Price $142.32 / $142.32 / $142.32	Facility	TC	$142.32	$142.32	$142.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $50.02 / $314.00	Professional		$44.75	$50.02	$314.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.80 / $17.45 / $107.32	Professional	26	$14.80	$17.45	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $33.72 / $296.00	Professional	TC	$29.13	$33.72	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $48.33 / $95.03	Professional		$44.75	$48.33	$95.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $16.67 / $28.90	Professional	26	$14.63	$16.67	$28.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $31.65 / $51.34	Professional	TC	$28.47	$31.65	$51.34