Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $18.62 / $20.89	Facility	26	$10.00	$18.62	$20.89
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $47.86 / $229.09	Facility	TC	$26.92	$47.86	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $64.57	Professional		$21.88	$33.88	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $22.39	Professional	26	$7.08	$9.12	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $37.15	Professional	TC	$16.98	$22.91	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $43.65	Professional		$24.55	$30.20	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.41 / $12.88	Professional	26	$6.61	$7.41	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $64.57	Professional		$24.55	$38.90	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $19.95	Professional	26	$7.59	$11.75	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $47.86	Professional	TC	$17.38	$26.92	$47.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $70.79	Facility	26	$20.89	$20.89	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $51.29 / $109.65	Facility	TC	$51.29	$51.29	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $208.93	Professional		$28.84	$36.31	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.22 / $57.54	Professional	26	$9.33	$11.22	$57.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $151.36	Professional	TC	$19.95	$24.55	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $51.29	Professional		$28.84	$32.36	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.23 / $15.85	Professional	26	$9.33	$10.23	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $35.48	Professional	TC	$19.05	$22.39	$35.48