Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $43.35 / $54.19	Facility	26	$17.92	$43.35	$54.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $40.10 / $69.31 / $177.97	Facility	TC	$40.10	$69.31	$177.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $38.24 / $74.61	Professional		$30.55	$38.24	$74.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $13.17 / $20.35	Professional	26	$10.61	$13.17	$20.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $25.05 / $50.15	Professional	TC	$19.94	$25.05	$50.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $36.69 / $154.19	Professional		$27.29	$36.69	$154.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $9.92 / $15.13	Professional	26	$9.92	$9.92	$15.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $37.75 / $47.19	Professional		$33.03	$37.75	$47.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.70 / $14.63	Professional	26	$10.24	$11.70	$14.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $26.05 / $32.56	Professional	TC	$22.79	$26.05	$32.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $47.90 / $76.58	Professional		$34.45	$47.90	$76.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $16.82 / $27.66	Professional	26	$11.07	$16.82	$27.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $30.30 / $51.74	Professional	TC	$23.08	$30.30	$51.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $131.69 / $131.69	Facility	TC	$61.48	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $41.86 / $271.47	Professional		$37.44	$41.86	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $15.16 / $81.06	Professional	26	$13.44	$15.16	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $27.79 / $190.40	Professional	TC	$23.82	$27.79	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $41.86 / $78.76	Professional		$37.44	$41.86	$78.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $14.40 / $26.47	Professional	26	$13.37	$14.40	$26.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $27.79 / $47.03	Professional	TC	$23.82	$27.79	$47.03