Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.45 / $38.86 / $52.76	Facility	26	$17.45	$38.86	$52.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $41.11 / $146.40	Professional		$33.43	$41.11	$146.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $12.58 / $30.52	Professional	26	$10.39	$12.58	$30.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $26.29 / $53.05	Professional	TC	$22.17	$26.29	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $40.82 / $164.40	Professional		$37.54	$40.82	$164.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $11.84 / $54.00	Professional	26	$9.42	$11.84	$54.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $38.65 / $48.31	Professional		$33.82	$38.65	$48.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $11.10 / $13.88	Professional	26	$9.72	$11.10	$13.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $27.54 / $34.43	Professional	TC	$24.10	$27.54	$34.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $47.45 / $75.91	Professional		$34.72	$47.45	$75.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $15.94 / $26.23	Professional	26	$10.51	$15.94	$26.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $30.80 / $52.65	Professional	TC	$23.51	$30.80	$52.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $70.00 / $70.00	Facility	26	$29.34	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $42.22 / $273.64	Professional		$37.10	$42.22	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $14.40 / $78.91	Professional	26	$12.91	$14.40	$78.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $28.51 / $194.73	Professional	TC	$24.17	$28.51	$194.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $42.22 / $78.47	Professional		$37.10	$42.22	$78.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $13.71 / $25.14	Professional	26	$12.61	$13.71	$25.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $28.51 / $46.26	Professional	TC	$24.17	$28.51	$46.26