Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $60.26 / $66.07	Facility	26	$47.86	$60.26	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $138.04	Professional		$32.36	$46.77	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $46.77	Professional	26	$10.96	$18.20	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $87.10	Professional	TC	$20.89	$30.90	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $40.74	Professional		$28.18	$33.11	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $25.70	Professional	26	$10.23	$12.59	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $28.18	Professional	TC	$19.95	$26.30	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $75.86	Professional		$33.11	$40.74	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $21.88	Professional	26	$9.55	$11.75	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $29.51 / $53.70	Professional	TC	$23.44	$29.51	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $83.18	Professional		$33.88	$50.12	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $29.51	Professional	26	$11.22	$15.85	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $57.54	Professional	TC	$22.91	$32.36	$57.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $100.00 / $100.00	Facility	26	$32.36	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $281.84	Professional		$38.02	$44.67	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $100.00	Professional	26	$12.88	$15.14	$100.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $29.51 / $251.19	Professional	TC	$23.99	$29.51	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $64.57	Professional		$38.02	$43.65	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.79 / $22.39	Professional	26	$12.30	$14.79	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.18 / $42.66	Professional	TC	$23.99	$28.18	$42.66