Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.49 / $69.18	Facility	26	$7.94	$15.49	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $85.11	Professional		$30.90	$40.74	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $26.92	Professional	26	$7.94	$10.47	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $60.26	Professional	TC	$21.88	$30.20	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $60.26	Professional		$30.20	$48.98	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $19.05	Professional	26	$14.13	$17.38	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $39.81	Professional	TC	$21.88	$28.84	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $37.15 / $51.29	Professional		$10.96	$37.15	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $16.22	Facility	26	$10.00	$10.00	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $72.44	Professional		$32.36	$41.69	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.22 / $18.20	Professional	26	$9.33	$11.22	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $51.29	Professional	TC	$23.99	$30.20	$51.29
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 $34.67 / $47.86 / $263.03	Professional		$34.67	$47.86	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $117.49	Professional	26	$9.77	$12.02	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.31 / $199.53	Professional	TC	$23.99	$36.31	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $64.57	Professional		$33.11	$41.69	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $17.38	Professional	26	$9.77	$10.96	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $29.51 / $47.86	Professional	TC	$23.44	$29.51	$47.86