Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.75 / $46.21 / $62.74	Facility	26	$20.75	$46.21	$62.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $60.35 / $198.00	Professional		$49.07	$60.35	$198.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $15.02 / $38.90	Professional	26	$12.37	$15.02	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $40.29 / $82.40	Professional	TC	$35.36	$40.29	$82.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $54.09 / $61.73	Professional		$44.09	$54.09	$61.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.44 / $12.87 / $64.80	Professional	26	$11.44	$12.87	$64.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.54 / $55.54 / $55.54	Professional	TC	$55.54	$55.54	$55.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $55.71 / $69.64	Professional		$48.75	$55.71	$69.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $13.47 / $16.84	Professional	26	$11.79	$13.47	$16.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.96 / $42.24 / $52.80	Professional	TC	$36.96	$42.24	$52.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $69.18 / $110.43	Professional		$50.40	$69.18	$110.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $19.34 / $31.76	Professional	26	$12.75	$19.34	$31.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $48.90 / $83.60	Professional	TC	$36.97	$48.90	$83.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $70.00 / $70.00	Facility	26	$35.32	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $60.26 / $395.03	Professional		$54.12	$60.26	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $17.43 / $93.99	Professional	26	$15.63	$17.43	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.46 / $43.67 / $301.02	Professional	TC	$38.46	$43.67	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $59.91 / $103.35	Professional		$54.10	$59.91	$103.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $16.47 / $29.90	Professional	26	$15.25	$16.47	$29.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $43.67 / $73.45	Professional	TC	$38.45	$43.67	$73.45