Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.61 / $29.82 / $56.59	Facility	26	$17.61	$29.82	$56.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $53.00 / $109.59	Professional		$42.24	$53.00	$109.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.81 / $33.42	Professional	26	$12.51	$14.81	$33.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $38.60 / $71.13	Professional	TC	$29.12	$38.60	$71.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $45.69 / $51.65	Professional		$33.99	$45.69	$51.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.69 / $20.57	Professional	26	$11.75	$14.69	$20.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $45.45 / $56.81	Professional		$39.77	$45.45	$56.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.21 / $16.02	Professional	26	$10.68	$12.21	$16.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.09 / $33.24 / $41.55	Professional	TC	$29.09	$33.24	$41.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $61.69 / $101.90	Professional		$44.07	$61.69	$101.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $18.42 / $31.84	Professional	26	$13.04	$18.42	$31.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $42.18 / $72.56	Professional	TC	$30.15	$42.18	$72.56
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 $48.30 / $54.12 / $338.57	Professional		$48.30	$54.12	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $16.82 / $117.24	Professional	26	$14.78	$16.82	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.06 / $38.33 / $291.00	Professional	TC	$33.06	$38.33	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $52.30 / $87.10	Professional		$47.98	$52.30	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.52 / $16.60 / $28.07	Professional	26	$14.52	$16.60	$28.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.94 / $36.63 / $59.41	Professional	TC	$31.94	$36.63	$59.41