Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $25.33 / $61.22	Facility	26	$14.96	$25.33	$61.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $62.66 / $188.46	Professional		$46.49	$62.66	$188.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $14.50 / $35.19	Professional	26	$11.84	$14.50	$35.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.49 / $41.79 / $76.16	Professional	TC	$32.49	$41.79	$76.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $47.13 / $57.86	Professional		$33.29	$47.13	$57.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.48 / $19.89	Professional	26	$9.98	$12.48	$19.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $48.44 / $48.44	Professional	TC	$31.00	$48.44	$48.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $47.21 / $59.01	Professional		$41.31	$47.21	$59.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $10.37 / $14.15	Professional	26	$9.07	$10.37	$14.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.24 / $36.84 / $46.05	Professional	TC	$32.24	$36.84	$46.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $62.07 / $101.35	Professional		$42.46	$62.07	$101.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $17.62 / $31.06	Professional	26	$11.07	$17.62	$31.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.24 / $42.52 / $75.27	Professional	TC	$29.24	$42.52	$75.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.00 / $110.00 / $110.00	Facility	26	$110.00	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $54.46 / $343.08	Professional		$47.42	$54.46	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.68 / $16.11 / $113.92	Professional	26	$13.68	$16.11	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $38.79 / $259.85	Professional	TC	$33.00	$38.79	$259.85
United Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $51.92 / $85.81	Professional		$46.58	$51.92	$85.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $15.66 / $27.35	Professional	26	$13.22	$15.66	$27.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.68 / $37.36 / $61.50	Professional	TC	$31.68	$37.36	$61.50