Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.75 / $10.46 / $15.75	Facility	26	$8.75	$10.46	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $36.85 / $40.90	Professional		$24.82	$36.85	$40.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $9.98 / $10.97	Professional	26	$7.25	$9.98	$10.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $26.42 / $28.65	Professional	TC	$17.57	$26.42	$28.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $39.19 / $52.79	Professional		$38.22	$39.19	$52.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $10.01 / $13.51	Professional	26	$8.01	$10.01	$13.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.71 / $29.71 / $32.19	Professional	TC	$29.71	$29.71	$32.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $36.04 / $49.50	Professional		$10.85	$36.04	$49.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $10.08 / $16.12	Facility	26	$10.08	$10.08	$16.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $33.69 / $54.54	Professional		$30.15	$33.69	$54.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.96 / $10.73 / $16.12	Professional	26	$8.96	$10.73	$16.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $23.56 / $38.42	Professional	TC	$20.30	$23.56	$38.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $100.00 / $100.00	Facility	26	$25.47	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $44.82 / $252.05	Professional		$32.20	$44.82	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.91 / $92.47	Professional	26	$10.11	$11.91	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $28.81 / $226.00	Professional	TC	$21.65	$28.81	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $37.81 / $59.20	Professional		$29.66	$37.81	$59.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.31 / $19.18	Professional	26	$9.56	$11.31	$19.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $28.81 / $42.70	Professional	TC	$20.55	$28.81	$42.70