Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.79 / $42.85 / $137.08	Facility	26	$19.79	$42.85	$137.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $53.78 / $119.78 / $420.68	Facility	TC	$53.78	$119.78	$420.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $54.25 / $108.84	Professional		$42.19	$54.25	$108.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.80 / $14.27 / $32.75	Professional	26	$11.80	$14.27	$32.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	50	$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $35.79 / $75.20	Professional	TC	$29.39	$35.79	$75.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $47.15 / $53.30	Professional		$38.44	$47.15	$53.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $13.44 / $59.40	Professional	26	$10.75	$13.44	$59.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.34 / $29.34 / $29.34	Professional	TC	$29.34	$29.34	$29.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $48.55 / $60.69	Professional		$42.48	$48.55	$60.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.03 / $12.61 / $15.76	Professional	26	$11.03	$12.61	$15.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.45 / $35.94 / $44.93	Professional	TC	$31.45	$35.94	$44.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $16.14 / $16.14	Facility	26	$16.14	$16.14	$16.14
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.74 / $44.74 / $44.74	Facility	TC	$44.74	$44.74	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $59.61 / $95.55	Professional		$43.44	$59.61	$95.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $18.11 / $29.69	Professional	26	$11.93	$18.11	$29.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.14 / $40.78 / $69.66	Professional	TC	$31.14	$40.78	$69.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $70.00 / $70.00	Facility	26	$33.22	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $84.96 / $181.68 / $181.68	Facility	TC	$84.96	$181.68	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $52.69 / $345.18	Professional		$46.63	$52.69	$345.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $16.30 / $89.67	Professional	26	$14.61	$16.30	$89.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $37.53 / $255.46	Professional	TC	$31.99	$37.53	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $52.69 / $98.64	Professional		$46.63	$52.69	$98.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $15.45 / $27.80	Professional	26	$14.32	$15.45	$27.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $37.53 / $61.69	Professional	TC	$31.99	$37.53	$61.69