Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $14.13	Facility	26	$7.08	$7.08	$14.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.98 / $28.84 / $208.93	Facility	TC	$16.98	$28.84	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $50.12	Professional		$16.22	$30.20	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $22.39	Professional	26	$7.08	$8.91	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $33.88	Professional	TC	$15.85	$21.88	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $51.29	Professional		$21.88	$33.11	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $7.08 / $14.79	Professional	26	$6.76	$7.08	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $26.92 / $36.31	Professional	TC	$24.55	$26.92	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $29.51 / $40.74	Professional		$9.12	$29.51	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $14.45	Facility	26	$14.45	$14.45	$14.45
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 $21.88 / $30.20 / $50.12	Professional		$21.88	$30.20	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $16.22	Professional	26	$7.24	$9.55	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $20.89 / $37.15	Professional	TC	$14.45	$20.89	$37.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $70.79 / $70.79	Facility	26	$20.89	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $109.65 / $109.65	Facility	TC	$51.29	$109.65	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $208.93	Professional		$26.92	$33.11	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.23 / $57.54	Professional	26	$8.32	$10.23	$57.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.38 / $151.36	Professional	TC	$16.98	$21.38	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $45.71	Professional		$25.70	$30.20	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.55 / $14.45	Professional	26	$8.13	$9.55	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.38 / $31.62	Professional	TC	$16.98	$21.38	$31.62