Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $15.85 / $23.44	Facility	26	$10.00	$15.85	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $104.71	Professional		$38.90	$51.29	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $34.67	Professional	26	$10.00	$12.88	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.15 / $69.18	Professional	TC	$28.18	$37.15	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $66.07	Professional		$33.11	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $20.42	Professional	26	$9.55	$12.02	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $51.29	Professional	TC	$28.84	$37.15	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $46.77 / $64.57	Professional		$12.59	$46.77	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $22.91	Facility	26	$14.13	$14.13	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $85.11	Professional		$38.02	$48.98	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.14 / $25.70	Professional	26	$11.48	$15.14	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $34.67 / $56.23	Professional	TC	$26.30	$34.67	$56.23
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 $42.66 / $57.54 / $331.13	Professional		$42.66	$57.54	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.49 / $120.23	Professional	26	$11.48	$15.49	$120.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $295.12	Professional	TC	$28.84	$38.90	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $75.86	Professional		$40.74	$48.98	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $20.89	Professional	26	$11.22	$14.45	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $34.67 / $53.70	Professional	TC	$28.18	$34.67	$53.70