Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $45.71 / $83.18	Facility	26	$14.45	$45.71	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $44.67 / $131.83	Professional		$21.38	$44.67	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.95 / $44.67	Professional	26	$10.96	$19.95	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $79.43	Professional	TC	$21.88	$34.67	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $44.67	Professional		$27.54	$35.48	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.72 / $18.20	Professional	26	$9.55	$10.72	$18.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.88 / $41.69	Professional	TC	$17.78	$21.88	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $72.44	Professional		$31.62	$39.81	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $19.95	Professional	26	$8.91	$11.48	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $52.48	Professional	TC	$22.91	$28.84	$52.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $79.43	Professional		$33.11	$46.77	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $27.54	Professional	26	$10.47	$15.14	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $57.54	Professional	TC	$22.39	$30.90	$57.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $100.00 / $100.00	Facility	26	$30.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $269.15	Professional		$36.31	$42.66	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.13 / $93.33	Professional	26	$12.30	$14.13	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $229.09	Professional	TC	$22.91	$28.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $61.66	Professional		$36.31	$41.69	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $13.80 / $20.89	Professional	26	$12.30	$13.80	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.54 / $40.74	Professional	TC	$22.91	$27.54	$40.74