Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.88 / $69.18	Facility	26	$7.94	$12.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $81.28	Professional		$25.70	$34.67	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $25.70	Professional	26	$7.94	$10.00	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $39.81	Professional	TC	$18.20	$23.99	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $41.69	Professional		$21.38	$27.54	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.59 / $16.22	Professional	26	$6.46	$7.59	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	TC	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $31.62 / $43.65	Professional		$10.23	$31.62	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $16.22	Facility	26	$10.00	$10.00	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $57.54	Professional		$26.92	$34.67	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $18.20	Professional	26	$8.91	$10.96	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.39 / $38.90	Professional	TC	$17.78	$22.39	$38.90
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 $28.84 / $38.90 / $223.87	Professional		$28.84	$38.90	$223.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.48 / $93.33	Professional	26	$9.55	$11.48	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $208.93	Professional	TC	$18.62	$25.70	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $52.48	Professional		$28.18	$33.88	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.72 / $16.98	Professional	26	$9.55	$10.72	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $36.31	Professional	TC	$18.62	$22.91	$36.31