Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.34 / $23.03 / $31.26	Facility	26	$10.34	$23.03	$31.26
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.11 / $34.21 / $255.06	Facility	TC	$19.11	$34.21	$255.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $23.58 / $48.30	Professional		$17.72	$23.58	$48.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $7.16 / $17.98	Professional	26	$6.12	$7.16	$17.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.78 / $16.76 / $29.45	Professional	TC	$11.78	$16.76	$29.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $18.89 / $33.06	Professional		$17.46	$18.89	$33.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.83 / $13.63	Professional	26	$5.62	$9.83	$13.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $18.69 / $23.36	Professional		$16.35	$18.69	$23.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $5.83 / $7.29	Professional	26	$5.09	$5.83	$7.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.25 / $12.86 / $16.07	Professional	TC	$11.25	$12.86	$16.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $28.27 / $46.63	Professional		$18.13	$28.27	$46.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $8.86 / $15.54	Professional	26	$6.23	$8.86	$15.54
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.05 / $31.05 / $31.05	Professional	50	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.90 / $18.68 / $30.85	Professional	TC	$11.90	$18.68	$30.85
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $24.46 / $172.00	Professional		$21.65	$24.46	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $8.14 / $72.64	Professional	26	$7.12	$8.14	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $17.05 / $148.00	Professional	TC	$13.71	$17.05	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $23.36 / $39.70	Professional		$21.65	$23.36	$39.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.94 / $14.31	Professional	26	$7.03	$7.94	$14.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $16.20 / $25.80	Professional	TC	$13.71	$16.20	$25.80