Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.33 / $7.33 / $13.98	Facility	26	$7.33	$7.33	$13.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.98 / $184.26 / $202.73	Facility	TC	$18.98	$184.26	$202.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $28.55 / $32.83	Professional		$20.49	$28.55	$32.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $8.65 / $9.21	Professional	26	$6.11	$8.65	$9.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $19.71 / $23.62	Professional	TC	$14.38	$19.71	$23.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $23.52	Professional		$23.52	$23.52	$23.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.32 / $11.33	Professional	26	$6.71	$8.32	$11.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $29.75 / $40.85	Professional		$9.10	$29.75	$40.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.33 / $14.33 / $14.33	Facility	26	$14.33	$14.33	$14.33
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	TC	$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $28.20 / $42.71	Professional		$22.45	$28.20	$42.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.90 / $13.56	Professional	26	$7.53	$8.90	$13.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $19.02 / $30.52	Professional	TC	$14.92	$19.02	$30.52
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 $25.99 / $32.88 / $208.77	Professional		$25.99	$32.88	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.23 / $57.45	Professional	26	$8.27	$10.23	$57.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $21.26 / $151.32	Professional	TC	$17.14	$21.26	$151.32
United Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $31.45 / $49.15	Professional		$25.61	$31.45	$49.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.23 / $14.75	Professional	26	$8.27	$10.23	$14.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $21.22 / $33.60	Professional	TC	$16.78	$21.22	$33.60