Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $20.28 / $33.40	Facility	26	$16.14	$20.28	$33.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.82 / $69.25 / $318.00	Facility	TC	$44.82	$69.25	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $52.40 / $91.23	Professional		$44.27	$52.40	$91.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $14.02 / $22.85	Professional	26	$13.41	$14.02	$22.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $38.39 / $59.31	Professional	TC	$30.85	$38.39	$59.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $42.70 / $89.02	Professional		$40.15	$42.70	$89.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $10.46 / $15.03	Professional	26	$10.42	$10.46	$15.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.57 / $45.57 / $45.57	Professional	TC	$45.57	$45.57	$45.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $69.79 / $69.79	Professional		$69.79	$69.79	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $65.50 / $95.82	Professional		$39.15	$65.50	$95.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.45 / $26.90	Professional	26	$12.02	$20.45	$26.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $47.73 / $76.75	Professional	TC	$27.26	$47.73	$76.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $70.00	Facility	26	$33.22	$33.22	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $84.96 / $84.96 / $181.68	Facility	TC	$84.96	$84.96	$181.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $59.39 / $345.18	Professional		$50.65	$59.39	$345.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $17.97 / $89.67	Professional	26	$15.12	$17.97	$89.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $41.28 / $255.46	Professional	TC	$34.40	$41.28	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $52.69 / $89.57	Professional		$49.34	$52.69	$89.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $16.73 / $25.77	Professional	26	$14.94	$16.73	$25.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.33 / $37.85 / $61.41	Professional	TC	$33.33	$37.85	$61.41