Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.70 / $17.48 / $36.65	Facility	26	$12.70	$17.48	$36.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.88 / $46.64 / $96.39	Facility	TC	$31.88	$46.64	$96.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $35.46 / $84.00	Professional		$25.53	$35.46	$84.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $9.40 / $24.57	Professional	26	$7.58	$9.40	$24.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $19.89 / $45.59	Professional	TC	$17.46	$19.89	$45.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $29.08 / $29.08	Professional		$20.55	$29.08	$29.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $12.07 / $20.57	Professional	26	$6.86	$12.07	$20.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $29.94 / $37.42	Professional		$26.19	$29.94	$37.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.09 / $10.11	Professional	26	$7.08	$8.09	$10.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $21.85 / $27.31	Professional	TC	$19.12	$21.85	$27.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $36.11 / $57.99	Professional		$26.38	$36.11	$57.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $11.48 / $18.64	Professional	26	$7.65	$11.48	$18.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $24.24 / $41.41	Professional	TC	$18.52	$24.24	$41.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $70.00 / $70.00	Facility	26	$21.10	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $110.49 / $110.49	Facility	TC	$51.52	$110.49	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $32.11 / $208.77	Professional		$28.25	$32.11	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $10.23 / $57.45	Professional	26	$9.18	$10.23	$57.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.38 / $151.32	Professional	TC	$19.05	$22.38	$151.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $32.11 / $53.95	Professional		$28.25	$32.11	$53.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $9.74 / $17.55	Professional	26	$9.15	$9.74	$17.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.38 / $36.60	Professional	TC	$19.05	$22.38	$36.60