Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $15.85 / $20.42	Facility	26	$10.00	$15.85	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $77.62	Professional		$20.42	$38.90	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $31.62	Professional	26	$10.00	$12.88	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $48.98	Professional	TC	$20.89	$28.84	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $53.70	Professional		$25.70	$33.11	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $20.89	Professional	26	$9.55	$12.02	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $41.69	Professional	TC	$21.88	$30.90	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.90 / $53.70	Professional		$12.88	$38.90	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $19.95	Facility	26	$12.02	$12.02	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $64.57	Professional		$30.20	$38.90	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $22.91	Professional	26	$10.47	$13.18	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $43.65	Professional	TC	$19.05	$25.70	$43.65
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 $33.88 / $45.71 / $269.15	Professional		$33.88	$45.71	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.45 / $93.33	Professional	26	$11.75	$14.45	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $229.09	Professional	TC	$21.88	$28.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $60.26	Professional		$32.36	$39.81	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $12.88 / $19.50	Professional	26	$11.48	$12.88	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $39.81	Professional	TC	$20.89	$26.30	$39.81