Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.75 / $46.21 / $62.74	Facility	26	$20.75	$46.21	$62.74
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 $35.20 / $40.96 / $80.95	Professional		$35.20	$40.96	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $15.17 / $22.96	Professional	26	$12.19	$15.17	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $25.78 / $53.64	Professional	TC	$20.59	$25.78	$53.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $39.90 / $43.38	Professional		$31.37	$39.90	$43.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $41.06 / $51.32	Professional		$35.92	$41.06	$51.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $13.21 / $16.51	Professional	26	$11.56	$13.21	$16.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.37 / $27.85 / $34.81	Professional	TC	$24.37	$27.85	$34.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
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 $37.44 / $51.40 / $82.58	Professional		$37.44	$51.40	$82.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $19.13 / $31.81	Professional	26	$12.50	$19.13	$31.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.86 / $31.23 / $53.23	Professional	TC	$23.86	$31.23	$53.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $70.00 / $70.00	Facility	26	$34.97	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $65.76 / $140.77 / $140.77	Facility	TC	$65.76	$140.77	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $45.47 / $297.38	Professional		$40.15	$45.47	$297.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $17.43 / $93.99	Professional	26	$15.63	$17.43	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $28.87 / $203.39	Professional	TC	$24.50	$28.87	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $45.47 / $76.70	Professional		$40.15	$45.47	$76.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.33 / $16.60 / $33.29	Professional	26	$15.33	$16.60	$33.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $28.87 / $51.83	Professional	TC	$24.50	$28.87	$51.83