Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $15.54 / $30.07	Facility	26	$9.18	$15.54	$30.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $37.28 / $108.91	Professional		$24.49	$37.28	$108.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $8.35 / $37.00	Professional	26	$6.70	$8.35	$37.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.72 / $99.89 / $102.21	Professional	50	$99.72	$99.89	$102.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $23.06 / $45.35	Professional	TC	$17.94	$23.06	$45.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $28.48 / $35.89	Professional		$21.16	$28.48	$35.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $10.44 / $14.11	Professional	26	$6.13	$10.44	$14.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $26.09 / $26.09	Professional	TC	$26.09	$26.09	$26.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $28.52 / $35.65	Professional		$24.96	$28.52	$35.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.57 / $6.37 / $8.93	Professional	26	$5.57	$6.37	$8.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $22.15 / $27.69	Professional	TC	$19.38	$22.15	$27.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $35.84 / $58.29	Professional		$25.24	$35.84	$58.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $9.44 / $16.57	Professional	26	$6.80	$9.44	$16.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $37.85	Professional	50	$37.85	$37.85	$37.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.22 / $24.57 / $41.72	Professional	TC	$18.22	$24.57	$41.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $31.76 / $206.66	Professional		$27.00	$31.76	$206.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.66 / $79.26	Professional	26	$7.58	$8.66	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $23.10 / $161.00	Professional	TC	$18.75	$23.10	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $31.76 / $50.05	Professional		$26.28	$31.76	$50.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $8.66 / $14.40	Professional	26	$7.21	$8.66	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.75 / $23.10 / $37.11	Professional	TC	$18.75	$23.10	$37.11