Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $43.06 / $58.46	Facility	26	$19.32	$43.06	$58.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $43.88 / $84.63	Professional		$33.40	$43.88	$84.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.80 / $28.64	Professional	26	$10.27	$12.80	$28.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.75 / $54.95	Professional	TC	$19.95	$28.75	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $38.15 / $43.17	Professional		$28.39	$38.15	$43.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $18.38 / $18.38	Professional	26	$10.56	$18.38	$18.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $22.67 / $22.67	Professional	TC	$22.67	$22.67	$22.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.85 / $47.31	Professional		$33.11	$37.85	$47.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $10.90 / $13.63	Professional	26	$9.53	$10.90	$13.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $26.94 / $33.68	Professional	TC	$23.58	$26.94	$33.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $52.16 / $83.07	Professional		$36.65	$52.16	$83.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $15.84 / $27.99	Professional	26	$11.56	$15.84	$27.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $33.22 / $56.09	Professional	TC	$23.57	$33.22	$56.09
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 $38.08 / $43.67 / $282.23	Professional		$38.08	$43.67	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $15.16 / $100.72	Professional	26	$12.89	$15.16	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.50 / $29.56 / $254.00	Professional	TC	$25.50	$29.56	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $43.67 / $69.87	Professional		$37.59	$43.67	$69.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $15.16 / $24.48	Professional	26	$12.58	$15.16	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.08 / $28.51 / $52.28	Professional	TC	$25.08	$28.51	$52.28