Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.30 / $28.50 / $58.53	Facility	26	$15.30	$28.50	$58.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $75.26 / $217.50	Professional		$51.53	$75.26	$217.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $17.26 / $36.75	Professional	26	$12.51	$17.26	$36.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.85 / $57.06 / $87.82	Professional	TC	$35.85	$57.06	$87.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $53.50 / $82.66	Professional		$43.61	$53.50	$82.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $14.04 / $33.54	Professional	26	$11.18	$14.04	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $53.61 / $67.01	Professional		$46.91	$53.61	$67.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $11.67 / $15.32	Professional	26	$10.21	$11.67	$15.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.69 / $41.94 / $52.42	Professional	TC	$36.69	$41.94	$52.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $79.01 / $127.61	Professional		$51.82	$79.01	$127.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $19.96 / $33.53	Professional	26	$12.46	$19.96	$33.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.36 / $58.40 / $94.33	Professional	TC	$39.36	$58.40	$94.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $126.00 / $126.00 / $126.00	Facility	26	$126.00	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $69.48 / $399.42	Professional		$60.27	$69.48	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $17.86 / $151.90	Professional	26	$15.52	$17.86	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $51.92 / $307.58	Professional	TC	$44.75	$51.92	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $66.30 / $113.40	Professional		$60.27	$66.30	$113.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $17.02 / $30.61	Professional	26	$15.52	$17.02	$30.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $49.33 / $84.20	Professional	TC	$44.75	$49.33	$84.20