Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $43.65 / $123.03	Facility	26	$14.45	$43.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $208.93	Professional		$43.65	$74.13	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $21.38 / $52.48	Professional	26	$10.96	$21.38	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $46.77 / $100.00	Professional	TC	$30.90	$46.77	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $77.62	Professional		$33.88	$44.67	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.47 / $20.42	Professional	26	$9.33	$10.47	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $54.95	Professional	TC	$25.12	$30.90	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $91.20	Professional		$39.81	$51.29	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $19.95	Professional	26	$8.91	$11.48	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $70.79	Professional	TC	$30.90	$38.02	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $109.65	Professional		$41.69	$60.26	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $30.90	Professional	26	$10.47	$16.98	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $79.43	Professional	TC	$30.20	$42.66	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $109.65 / $109.65	Facility	26	$30.20	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $331.13	Professional		$48.98	$56.23	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $120.23	Professional	26	$12.88	$16.22	$120.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $38.90 / $295.12	Professional	TC	$33.11	$38.90	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $79.43	Professional		$47.86	$52.48	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.14 / $22.91	Professional	26	$12.59	$15.14	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $37.15 / $57.54	Professional	TC	$33.11	$37.15	$57.54