Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $18.20	Facility	26	$10.00	$10.96	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $79.43	Professional		$30.20	$39.81	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $30.90	Professional	26	$10.00	$12.30	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $42.66	Professional	TC	$20.89	$28.18	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $52.48	Professional		$28.84	$31.62	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $15.49	Professional	26	$9.33	$12.59	$15.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $33.11	Professional	TC	$26.92	$26.92	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $38.90 / $53.70	Professional		$12.59	$38.90	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $66.07	Professional		$28.18	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.49 / $22.91	Professional	26	$10.23	$13.49	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $45.71	Professional	TC	$18.20	$26.30	$45.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $70.79 / $70.79	Facility	26	$29.51	$70.79	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $275.42	Professional		$34.67	$42.66	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.13 / $79.43	Professional	26	$11.75	$14.13	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $194.98	Professional	TC	$21.88	$26.92	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $60.26	Professional		$33.88	$39.81	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.49 / $20.42	Professional	26	$11.48	$13.49	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $39.81	Professional	TC	$21.88	$26.92	$39.81