Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.33 / $6.42 / $10.08	Facility	26	$5.33	$6.42	$10.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.97 / $120.66 / $594.37	Facility	TC	$22.97	$120.66	$594.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $31.80 / $37.85	Professional		$23.62	$31.80	$37.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.55 / $6.48 / $8.32	Professional	26	$4.55	$6.48	$8.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.70 / $61.70 / $61.70	Professional	50	$61.70	$61.70	$61.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.81 / $17.67 / $18.93	Professional	52	$11.81	$17.67	$18.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $25.57 / $31.00	Professional	TC	$19.07	$25.57	$31.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $38.11 / $55.98	Professional		$36.89	$38.11	$55.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.91 / $5.27 / $10.45	Professional	26	$4.91	$5.27	$10.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.27 / $32.82 / $45.53	Professional	TC	$32.27	$32.82	$45.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $33.95 / $46.62	Professional		$6.65	$33.95	$46.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.13 / $6.13 / $9.55	Facility	26	$6.13	$6.13	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $17.03 / $17.03 / $20.82	Facility	TC	$17.03	$17.03	$20.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $30.87 / $48.74	Professional		$23.81	$30.87	$48.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.55 / $6.58 / $10.00	Professional	26	$5.55	$6.58	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $24.30 / $39.74	Professional	TC	$17.69	$24.30	$39.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $100.00 / $100.00	Facility	26	$15.48	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $143.82 / $143.82	Facility	TC	$67.18	$143.82	$143.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $36.26 / $241.48	Professional		$26.91	$36.26	$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 / $27.43 / $199.06	Professional	TC	$20.85	$27.43	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $32.56 / $59.06	Professional		$26.91	$32.56	$59.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $6.86 / $12.34	Professional	26	$6.06	$6.86	$12.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $25.98 / $42.69	Professional	TC	$20.75	$25.98	$42.69