Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $29.51 / $37.15	Facility	26	$15.49	$29.51	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $79.43	Professional		$18.20	$25.70	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $25.70	Professional	26	$6.03	$10.00	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $16.60 / $40.74	Professional	TC	$11.22	$16.60	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $48.98	Professional		$14.13	$19.50	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.24 / $14.13	Professional	26	$5.75	$7.24	$14.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $41.69	Professional		$18.62	$22.91	$41.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $6.61 / $12.30	Professional	26	$5.37	$6.61	$12.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $16.22 / $29.51	Professional	TC	$13.18	$16.22	$29.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $48.98	Professional		$19.50	$28.18	$48.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.71 / $16.22	Professional	26	$6.31	$8.71	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $33.88	Professional	TC	$13.18	$18.62	$33.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $537.03	Professional		$21.88	$25.12	$537.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.32 / $63.10	Professional	26	$7.24	$8.32	$63.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.60 / $501.19	Professional	TC	$14.45	$16.60	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $37.15	Professional		$21.88	$24.55	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.32 / $12.59	Professional	26	$6.92	$8.32	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $16.22 / $24.55	Professional	TC	$14.45	$16.22	$24.55