Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.98 / $7.10 / $11.88	Facility	26	$5.98	$7.10	$11.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.47 / $16.07 / $110.71	Facility	TC	$10.47	$16.07	$110.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $20.23 / $25.93	Professional		$13.85	$20.23	$25.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.10 / $7.53	Professional	26	$5.01	$7.10	$7.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.84 / $13.08 / $16.76	Professional	TC	$8.84	$13.08	$16.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $21.57 / $35.74	Professional		$21.57	$21.57	$35.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.48 / $5.48 / $9.23	Professional	26	$5.48	$5.48	$9.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $19.95 / $27.39	Professional		$8.02	$19.95	$27.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.81 / $6.81 / $11.17	Facility	26	$6.81	$6.81	$11.17
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $12.37 / $12.37 / $23.25	Facility	TC	$12.37	$12.37	$23.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $20.50 / $33.53	Professional		$18.25	$20.50	$33.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $7.26 / $11.04	Professional	26	$6.13	$7.26	$11.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.54 / $12.82 / $22.52	Professional	TC	$11.54	$12.82	$22.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $100.00 / $100.00	Facility	26	$17.23	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $30.15 / $100.00 / $100.00	Facility	TC	$30.15	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $25.84 / $172.00	Professional		$19.48	$25.84	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $8.08 / $72.64	Professional	26	$6.75	$8.08	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.93 / $17.05 / $148.00	Professional	TC	$11.93	$17.05	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.97 / $34.64	Professional		$18.39	$22.97	$34.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.75 / $7.55 / $11.97	Professional	26	$6.75	$7.55	$11.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.93 / $15.77 / $21.94	Professional	TC	$11.93	$15.77	$21.94