Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.95 / $12.93 / $25.01	Facility	26	$6.95	$12.93	$25.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.86 / $60.73 / $329.97	Facility	TC	$35.86	$60.73	$329.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $43.88 / $146.00	Professional		$27.79	$43.88	$146.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $7.40 / $29.76	Professional	26	$5.60	$7.40	$29.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.24 / $15.97 / $19.78	Professional	52	$12.24	$15.97	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $29.89 / $59.46	Professional	TC	$21.51	$29.89	$59.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $31.98 / $39.11	Professional		$26.33	$31.98	$39.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $7.65 / $11.67	Professional	26	$5.09	$7.65	$11.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $23.23 / $33.54	Professional	TC	$23.23	$23.23	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $33.74 / $42.18	Professional		$29.53	$33.74	$42.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $5.30 / $7.44	Professional	26	$4.63	$5.30	$7.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $28.44 / $35.54	Professional	TC	$24.89	$28.44	$35.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.66 / $7.66	Facility	26	$7.66	$7.66	$7.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	TC	$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $37.29 / $66.63	Professional		$26.43	$37.29	$66.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $7.76 / $13.80	Professional	26	$5.66	$7.76	$13.80
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.71 / $43.71 / $43.71	Professional	50	$43.71	$43.71	$43.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $30.25 / $52.65	Professional	TC	$20.39	$30.25	$52.65
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 $143.82 / $143.82 / $143.82	Facility	TC	$143.82	$143.82	$143.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $36.09 / $241.48	Professional		$26.91	$36.09	$241.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $7.22 / $51.19	Professional	26	$6.06	$7.22	$51.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $28.87 / $199.06	Professional	TC	$20.85	$28.87	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.09 / $57.20	Professional		$26.52	$36.09	$57.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $7.22 / $11.55	Professional	26	$6.06	$7.22	$11.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.35 / $28.87 / $61.49	Professional	TC	$20.35	$28.87	$61.49