Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.58 / $24.68 / $59.70	Facility	26	$14.58	$24.68	$59.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $43.47 / $98.20	Professional		$29.23	$43.47	$98.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $13.26 / $29.74	Professional	26	$10.68	$13.26	$29.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $30.07 / $55.04	Professional	TC	$22.98	$30.07	$55.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $36.69 / $42.31	Professional		$28.87	$36.69	$42.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $14.76 / $23.58	Professional	26	$9.73	$14.76	$23.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $21.52 / $31.06	Professional	TC	$20.78	$21.52	$31.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $36.45 / $45.56	Professional		$31.89	$36.45	$45.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.10 / $13.26	Professional	26	$8.84	$10.10	$13.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $26.34 / $32.93	Professional	TC	$23.05	$26.34	$32.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $48.93 / $80.33	Professional		$34.44	$48.93	$80.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $15.69 / $26.97	Professional	26	$10.80	$15.69	$26.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $31.43 / $53.36	Professional	TC	$22.87	$31.43	$53.36
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 $36.75 / $41.91 / $271.47	Professional		$36.75	$41.91	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.43 / $13.96 / $94.11	Professional	26	$12.43	$13.96	$94.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.14 / $28.35 / $227.00	Professional	TC	$24.14	$28.35	$227.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $41.50 / $75.59	Professional		$36.72	$41.50	$75.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $13.71 / $25.34	Professional	26	$12.24	$13.71	$25.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.86 / $27.79 / $45.24	Professional	TC	$23.86	$27.79	$45.24