Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $13.49 / $56.23	Facility	26	$7.94	$13.49	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $69.18	Professional		$28.84	$38.02	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $25.70	Professional	26	$7.94	$10.72	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $48.98	Professional	TC	$19.95	$26.92	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $37.15	Professional		$29.51	$29.51	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.47 / $16.98	Professional	26	$7.94	$10.47	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.20 / $47.86	Professional	TC	$25.12	$30.20	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $48.98	Professional		$10.96	$36.31	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $8.71 / $13.80	Facility	26	$8.71	$8.71	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $61.66	Professional		$26.30	$34.67	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.72 / $18.20	Professional	26	$7.41	$10.72	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $41.69	Professional	TC	$18.62	$24.55	$41.69
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 $31.62 / $41.69 / $251.19	Professional		$31.62	$41.69	$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 $21.38 / $27.54 / $181.97	Professional	TC	$21.38	$27.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $53.70	Professional		$30.20	$36.31	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $15.85	Professional	26	$8.91	$10.96	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $38.90	Professional	TC	$20.42	$25.12	$38.90