Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $59.64 / $391.70	Facility		$34.18	$59.64	$391.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.15 / $28.82 / $43.49	Facility	26	$11.15	$28.82	$43.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $35.61 / $96.02	Professional		$25.34	$35.61	$96.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.82 / $25.08	Professional	26	$8.97	$10.82	$25.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.53 / $46.57	Professional	TC	$18.82	$23.53	$46.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $32.01 / $36.97	Professional		$23.81	$32.01	$36.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.09 / $21.48	Professional	26	$7.67	$9.09	$21.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $19.64 / $19.64	Professional	TC	$19.64	$19.64	$19.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $71.48 / $117.66	Facility		$19.11	$71.48	$117.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $31.85 / $39.81	Professional		$27.87	$31.85	$39.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.50 / $11.09	Professional	26	$7.44	$8.50	$11.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $23.34 / $29.18	Professional	TC	$20.43	$23.34	$29.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.93 / $189.46 / $247.64	Facility		$61.93	$189.46	$247.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $41.79 / $65.89	Professional		$29.17	$41.79	$65.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $12.74 / $22.12	Professional	26	$9.08	$12.74	$22.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $27.30 / $45.62	Professional	TC	$19.84	$27.30	$45.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $42.35 / $80.29	Facility		$34.08	$42.35	$80.29
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 Professional Modifier Low / Median / High Price $31.50 / $36.09 / $236.90	Professional		$31.50	$36.09	$236.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.55 / $82.56	Professional	26	$10.24	$11.55	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $25.06 / $190.00	Professional	TC	$21.24	$25.06	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $36.09 / $66.27	Professional		$31.32	$36.09	$66.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.55 / $21.74	Professional	26	$10.24	$11.55	$21.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $24.54 / $45.00	Professional	TC	$20.99	$24.54	$45.00