Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.94 / $16.84 / $32.54	Facility	26	$9.94	$16.84	$32.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $30.60 / $72.30	Professional		$20.55	$30.60	$72.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $8.77 / $20.03	Professional	26	$7.01	$8.77	$20.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.94 / $52.94 / $52.94	Professional	50	$52.94	$52.94	$52.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.55 / $22.05 / $42.88	Professional	TC	$12.55	$22.05	$42.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.71 / $22.77	Professional		$16.57	$19.71	$22.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $7.40 / $16.07	Professional	26	$6.52	$7.40	$16.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.85 / $10.85 / $10.85	Professional	TC	$10.85	$10.85	$10.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $20.66 / $25.82	Professional		$18.07	$20.66	$25.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $6.90 / $8.63	Professional	26	$6.04	$6.90	$8.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $13.75 / $17.19	Professional	TC	$12.03	$13.75	$17.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $33.53 / $59.77	Professional		$20.66	$33.53	$59.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $10.41 / $19.04	Professional	26	$7.36	$10.41	$19.04
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $41.47	Professional	50	$41.47	$41.47	$41.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.81 / $22.27 / $42.03	Professional	TC	$12.81	$22.27	$42.03
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 $26.18 / $31.45 / $203.00	Professional		$26.18	$31.45	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $9.52 / $84.21	Professional	26	$8.34	$9.52	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $21.43 / $165.00	Professional	TC	$18.01	$21.43	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $28.86 / $51.62	Professional		$25.41	$28.86	$51.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.38 / $15.84	Professional	26	$8.14	$9.38	$15.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $20.47 / $34.78	Professional	TC	$16.30	$20.47	$34.78