Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.22 / $29.15 / $70.50	Facility	26	$17.22	$29.15	$70.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $72.68 / $232.50	Professional		$54.09	$72.68	$232.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $15.66 / $62.03	Professional	26	$12.68	$15.66	$62.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.39 / $50.05 / $104.21	Professional	TC	$40.39	$50.05	$104.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $61.35 / $264.60	Professional		$43.34	$61.35	$264.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $19.39 / $26.46	Professional	26	$11.44	$19.39	$26.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $63.21 / $79.01	Professional		$55.31	$63.21	$79.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $13.47 / $16.84	Professional	26	$11.79	$13.47	$16.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.52 / $49.74 / $62.17	Professional	TC	$43.52	$49.74	$62.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $76.12 / $124.64	Professional		$55.43	$76.12	$124.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $19.34 / $31.76	Professional	26	$12.75	$19.34	$31.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.77 / $55.98 / $96.26	Professional	TC	$42.77	$55.98	$96.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $70.00 / $70.00	Facility	26	$35.32	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $68.56 / $453.03	Professional		$59.57	$68.56	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $17.43 / $95.54	Professional	26	$15.63	$17.43	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.91 / $51.97 / $357.49	Professional	TC	$43.91	$51.97	$357.49
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $68.56 / $113.75	Professional		$59.50	$68.56	$113.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $16.60 / $33.11	Professional	26	$15.25	$16.60	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.91 / $51.97 / $84.38	Professional	TC	$43.91	$51.97	$84.38