Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $38.02 / $51.29	Facility	26	$12.30	$38.02	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $141.25	Professional		$30.90	$51.29	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.85 / $33.11	Professional	26	$8.13	$15.85	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $87.10	Professional	TC	$20.89	$30.20	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $52.48	Professional		$25.70	$32.36	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $14.79	Professional	26	$7.94	$10.00	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $47.86	Professional	TC	$18.20	$26.30	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $67.61	Professional		$30.20	$38.90	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $16.98	Professional	26	$7.41	$9.55	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $51.29	Professional	TC	$22.39	$28.18	$51.29
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 $29.51 / $42.66 / $74.13	Professional		$29.51	$42.66	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $21.38	Professional	26	$7.94	$11.22	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $56.23	Professional	TC	$21.88	$30.20	$56.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $100.00 / $100.00	Facility	26	$25.70	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $251.19	Professional		$33.11	$38.90	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $97.72	Professional	26	$9.12	$12.02	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $181.97	Professional	TC	$23.44	$27.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $56.23	Professional		$32.36	$38.90	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $16.98	Professional	26	$8.91	$10.96	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $26.92 / $38.90	Professional	TC	$23.44	$26.92	$38.90