Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.50 / $14.79 / $22.79	Facility	26	$10.50	$14.79	$22.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $49.70 / $53.65	Professional		$33.40	$49.70	$53.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.36 / $15.96	Professional	26	$8.78	$12.36	$15.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.60 / $36.83 / $40.40	Professional	TC	$24.60	$36.83	$40.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $53.79 / $79.70	Professional		$38.07	$53.79	$79.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $10.05 / $20.69	Professional	26	$9.73	$10.05	$20.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.34 / $41.80 / $46.05	Professional	TC	$28.34	$41.80	$46.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $48.65 / $66.80	Professional		$12.95	$48.65	$66.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.04 / $14.04 / $22.69	Facility	26	$14.04	$14.04	$22.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $46.37 / $74.36	Professional		$39.56	$46.37	$74.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $14.80 / $22.94	Professional	26	$11.56	$14.80	$22.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $33.17 / $51.46	Professional	TC	$27.59	$33.17	$51.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $110.00 / $110.00	Facility	26	$30.85	$110.00	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $58.67 / $343.08	Professional		$41.68	$58.67	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.65 / $113.92	Professional	26	$12.24	$15.65	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.24 / $37.52 / $259.85	Professional	TC	$29.24	$37.52	$259.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $51.25 / $79.44	Professional		$40.75	$51.25	$79.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $14.40 / $22.65	Professional	26	$12.05	$14.40	$22.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.63 / $36.06 / $59.40	Professional	TC	$27.63	$36.06	$59.40