Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $13.49 / $22.91	Facility	26	$12.02	$13.49	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $128.82	Professional		$52.48	$67.61	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $38.90	Professional	26	$12.02	$15.14	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $51.29 / $79.43	Professional	TC	$38.90	$51.29	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $102.33	Professional		$52.48	$74.13	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $23.44	Professional	26	$11.48	$19.50	$23.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $60.26 / $67.61	Professional	TC	$52.48	$60.26	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $64.57 / $87.10	Professional		$14.79	$64.57	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $107.15	Professional		$45.71	$64.57	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.22 / $27.54	Professional	26	$12.30	$16.22	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $47.86 / $85.11	Professional	TC	$33.11	$47.86	$85.11
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $70.79 / $70.79	Facility	26	$35.48	$70.79	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $457.09	Professional		$56.23	$69.18	$457.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $95.50	Professional	26	$14.13	$17.38	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $48.98 / $354.81	Professional	TC	$38.90	$48.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $97.72	Professional		$53.70	$64.57	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.22 / $25.12	Professional	26	$13.80	$16.22	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $48.98 / $72.44	Professional	TC	$38.90	$48.98	$72.44