Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.47 / $40.17 / $239.68	Facility	TC	$23.47	$40.17	$239.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $40.96 / $46.61	Professional		$28.98	$40.96	$46.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $13.91 / $15.17	Professional	26	$10.13	$13.91	$15.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $25.78 / $30.21	Professional	TC	$18.85	$25.78	$30.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $23.41 / $23.41	Professional	26	$23.41	$23.41	$23.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $42.35 / $58.15	Professional		$15.05	$42.35	$58.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.64 / $24.64 / $24.64	Facility	26	$24.64	$24.64	$24.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $34.69 / $34.69 / $34.69	Facility	TC	$34.69	$34.69	$34.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $39.47 / $59.42	Professional		$32.10	$39.47	$59.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $15.18 / $23.21	Professional	26	$12.68	$15.18	$23.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $24.45 / $38.90	Professional	TC	$19.20	$24.45	$38.90
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 $36.75 / $44.72 / $297.38	Professional		$36.75	$44.72	$297.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.43 / $93.99	Professional	26	$14.11	$17.43	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.66 / $27.43 / $203.39	Professional	TC	$21.66	$27.43	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $43.33 / $69.00	Professional		$36.38	$43.33	$69.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $16.60 / $25.30	Professional	26	$14.11	$16.60	$25.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $27.29 / $43.31	Professional	TC	$21.53	$27.29	$43.31