Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $29.88 / $68.54	Facility	26	$11.16	$29.88	$68.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $40.68 / $82.61	Professional		$32.56	$40.68	$82.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $10.47 / $23.12	Professional	26	$8.97	$10.47	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $28.18 / $53.79	Professional	TC	$22.08	$28.18	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $34.33 / $41.91	Professional		$27.99	$34.33	$41.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $14.21 / $19.87	Professional	26	$8.27	$14.21	$19.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $27.08 / $27.08	Professional	TC	$27.08	$27.08	$27.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $34.25 / $42.81	Professional		$29.97	$34.25	$42.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.50 / $11.91	Professional	26	$7.44	$8.50	$11.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.53 / $25.74 / $32.18	Professional	TC	$22.53	$25.74	$32.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $46.01 / $74.68	Professional		$31.69	$46.01	$74.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $12.74 / $22.12	Professional	26	$9.09	$12.74	$22.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $32.36 / $54.73	Professional	TC	$23.15	$32.36	$54.73
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 $36.04 / $39.04 / $252.05	Professional		$36.04	$39.04	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.91 / $92.47	Professional	26	$10.23	$11.91	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $28.81 / $226.00	Professional	TC	$25.38	$28.81	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $38.97 / $66.29	Professional		$34.97	$38.97	$66.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.91 / $21.84	Professional	26	$10.23	$11.91	$21.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.63 / $27.36 / $45.00	Professional	TC	$23.63	$27.36	$45.00