Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $27.87 / $57.21	Facility	26	$14.96	$27.87	$57.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $67.66 / $168.24	Professional		$52.00	$67.66	$168.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $16.71 / $35.44	Professional	26	$12.28	$16.71	$35.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.08 / $50.93 / $92.09	Professional	TC	$37.08	$50.93	$92.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $54.09 / $79.84	Professional		$44.09	$54.09	$79.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $19.22 / $23.70	Professional	26	$11.16	$19.22	$23.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.97 / $56.33 / $56.33	Professional	TC	$34.97	$56.33	$56.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $54.24 / $67.80	Professional		$47.46	$54.24	$67.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.41 / $15.64	Professional	26	$9.98	$11.41	$15.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.47 / $42.83 / $53.54	Professional	TC	$37.47	$42.83	$53.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $75.40 / $123.90	Professional		$50.67	$75.40	$123.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $20.17 / $36.13	Professional	26	$12.19	$20.17	$36.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.14 / $53.71 / $93.45	Professional	TC	$37.14	$53.71	$93.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $66.29 / $399.42	Professional		$58.48	$66.29	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $18.62 / $137.04	Professional	26	$15.52	$18.62	$137.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.77 / $48.80 / $356.00	Professional	TC	$41.77	$48.80	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $63.96 / $113.40	Professional		$57.28	$63.96	$113.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $18.03 / $30.59	Professional	26	$15.13	$18.03	$30.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.28 / $46.88 / $90.72	Professional	TC	$40.28	$46.88	$90.72