Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.38 / $44.46 / $55.57	Facility	26	$18.38	$44.46	$55.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $62.67 / $138.16	Professional		$45.15	$62.67	$138.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.97 / $13.40 / $27.21	Professional	26	$10.97	$13.40	$27.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.53 / $38.58 / $82.01	Professional	TC	$32.53	$38.58	$82.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $52.90 / $57.50	Professional		$41.68	$52.90	$57.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $17.86 / $30.48	Professional	26	$10.42	$17.86	$30.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $35.79 / $35.79	Professional	TC	$35.79	$35.79	$35.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $54.50 / $68.13	Professional		$47.69	$54.50	$68.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.97 / $14.96	Professional	26	$10.47	$11.97	$14.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.22 / $42.54 / $53.17	Professional	TC	$37.22	$42.54	$53.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $62.83 / $104.97	Professional		$45.95	$62.83	$104.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $17.00 / $28.29	Professional	26	$11.07	$17.00	$28.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.74 / $45.32 / $77.98	Professional	TC	$34.74	$45.32	$77.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $70.00 / $70.00	Facility	26	$31.19	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $56.66 / $379.94	Professional		$49.35	$56.66	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $15.54 / $83.23	Professional	26	$13.78	$15.54	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.39 / $42.59 / $296.70	Professional	TC	$35.39	$42.59	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $56.66 / $95.18	Professional		$49.33	$56.66	$95.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $14.69 / $25.80	Professional	26	$13.37	$14.69	$25.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.38 / $42.59 / $68.14	Professional	TC	$35.38	$42.59	$68.14