Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $38.90 / $48.98	Facility	26	$11.48	$38.90	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $141.25	Professional		$28.18	$42.66	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $35.48	Professional	26	$7.94	$12.88	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $72.44	Professional	TC	$19.05	$25.70	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $37.15	Professional		$23.44	$25.70	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $16.60	Professional	26	$7.41	$9.55	$16.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $60.26	Professional		$26.30	$33.11	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $15.85	Professional	26	$6.92	$8.71	$15.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.99 / $44.67	Professional	TC	$19.50	$23.99	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $11.48 / $16.22	Facility	26	$2.45	$11.48	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $74.13	Professional		$28.18	$41.69	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $22.91	Professional	26	$8.51	$12.30	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $50.12	Professional	TC	$19.95	$28.18	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $100.00 / $100.00	Facility	26	$23.99	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $223.87	Professional		$30.90	$37.15	$223.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.75 / $93.33	Professional	26	$10.23	$11.75	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $208.93	Professional	TC	$19.95	$25.70	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $54.95	Professional		$30.90	$35.48	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $16.98	Professional	26	$9.77	$11.22	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.12 / $36.31	Professional	TC	$20.89	$25.12	$36.31