Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.45 / $12.59 / $21.53	Facility	26	$11.45	$12.59	$21.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.40 / $297.31 / $305.13	Facility	TC	$32.40	$297.31	$305.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $47.17 / $53.99	Professional		$33.85	$47.17	$53.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $13.30 / $14.27	Professional	26	$9.46	$13.30	$14.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $33.14 / $39.72	Professional	TC	$24.39	$33.14	$39.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $10.48 / $17.69	Professional	26	$10.48	$10.48	$17.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.78 / $52.23 / $59.89	Professional	TC	$40.78	$52.23	$59.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $49.35 / $67.76	Professional		$14.00	$49.35	$67.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.75 / $22.75 / $22.75	Facility	26	$22.75	$22.75	$22.75
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $45.37 / $45.37 / $45.37	Facility	TC	$45.37	$45.37	$45.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $45.76 / $69.27	Professional		$37.07	$45.76	$69.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $13.89 / $21.56	Professional	26	$11.98	$13.89	$21.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $31.93 / $50.20	Professional	TC	$25.09	$31.93	$50.20
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 $42.68 / $53.96 / $345.18	Professional		$42.68	$53.96	$345.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.30 / $89.67	Professional	26	$12.98	$16.30	$89.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $35.65 / $255.46	Professional	TC	$28.57	$35.65	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $51.92 / $79.93	Professional		$42.15	$51.92	$79.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $16.17 / $23.22	Professional	26	$12.98	$16.17	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.49 / $35.61 / $56.30	Professional	TC	$28.49	$35.61	$56.30