Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.92 / $15.89 / $90.47	Facility	26	$10.92	$15.89	$90.47
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.51 / $35.19 / $242.28	Facility	TC	$25.51	$35.19	$242.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $42.57 / $47.25	Professional		$28.51	$42.57	$47.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $12.68 / $15.33	Professional	26	$9.02	$12.68	$15.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $28.55 / $31.92	Professional	TC	$19.48	$28.55	$31.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $44.53 / $44.53	Professional		$43.51	$44.53	$44.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $21.25 / $21.25	Professional	26	$21.25	$21.25	$21.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $41.65 / $57.19	Professional		$13.30	$41.65	$57.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.28 / $15.28 / $25.10	Facility	26	$15.28	$15.28	$25.10
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.30 / $24.30 / $44.51	Facility	TC	$24.30	$24.30	$44.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $42.00 / $66.58	Professional		$36.51	$42.00	$66.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $15.68 / $24.65	Professional	26	$11.99	$15.68	$24.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.93 / $25.98 / $43.72	Professional	TC	$22.93	$25.98	$43.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $100.00 / $100.00	Facility	26	$31.72	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $66.47 / $142.32 / $142.32	Facility	TC	$66.47	$142.32	$142.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $53.28 / $314.00	Professional		$38.97	$53.28	$314.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.02 / $107.32	Professional	26	$12.88	$17.02	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $33.72 / $296.00	Professional	TC	$23.96	$33.72	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $47.48 / $76.47	Professional		$38.04	$47.48	$76.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.30 / $23.68	Professional	26	$12.88	$16.30	$23.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $29.73 / $46.67	Professional	TC	$23.76	$29.73	$46.67