Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $46.77 / $51.29	Facility	26	$38.02	$46.77	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $190.55	Professional		$30.90	$47.86	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.45 / $38.90	Professional	26	$8.13	$14.45	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $97.72	Professional	TC	$21.88	$35.48	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $61.66	Professional		$25.12	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.32 / $16.22	Professional	26	$7.94	$8.32	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $70.79	Professional		$30.90	$38.90	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.33 / $16.98	Professional	26	$7.41	$9.33	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $29.51 / $53.70	Professional	TC	$23.44	$29.51	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $87.10	Professional		$33.88	$52.48	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.90 / $67.61	Professional	TC	$24.55	$38.90	$67.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $263.03	Professional		$39.81	$47.86	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.02 / $117.49	Professional	26	$10.23	$12.02	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.15 / $199.53	Professional	TC	$28.18	$37.15	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $66.07	Professional		$39.81	$44.67	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.48 / $17.38	Professional	26	$9.77	$11.48	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.88 / $50.12	Professional	TC	$28.18	$33.88	$50.12