Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.51 / $36.77 / $49.91	Facility	26	$16.51	$36.77	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $45.07 / $75.45	Professional		$30.36	$45.07	$75.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.23 / $21.16	Professional	26	$8.18	$10.23	$21.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $33.99 / $57.10	Professional	TC	$22.18	$33.99	$57.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $38.99 / $60.03	Professional		$31.50	$38.99	$60.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.14 / $13.59	Professional	26	$8.91	$11.14	$13.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $38.95 / $48.69	Professional		$34.08	$38.95	$48.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.30 / $11.63	Professional	26	$8.14	$9.30	$11.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $29.65 / $37.06	Professional	TC	$25.94	$29.65	$37.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $53.88 / $86.12	Professional		$37.10	$53.88	$86.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $12.87 / $22.12	Professional	26	$9.30	$12.87	$22.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.15 / $39.86 / $64.62	Professional	TC	$27.15	$39.86	$64.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $103.00 / $103.00 / $103.00	Facility	26	$103.00	$103.00	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $46.24 / $286.68	Professional		$41.48	$46.24	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $12.63 / $107.32	Professional	26	$10.24	$12.63	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.01 / $36.00 / $267.00	Professional	TC	$30.01	$36.00	$267.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $45.07 / $80.08	Professional		$40.92	$45.07	$80.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $12.29 / $19.46	Professional	26	$10.24	$12.29	$19.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.76 / $33.97 / $58.40	Professional	TC	$29.76	$33.97	$58.40