Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.28 / $27.29 / $34.11	Facility	26	$11.28	$27.29	$34.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.69 / $31.71 / $86.75	Facility	TC	$28.69	$31.71	$86.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $26.85 / $53.84	Professional		$22.15	$26.85	$53.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $7.84 / $14.80	Professional	26	$6.39	$7.84	$14.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.20 / $19.00 / $37.40	Professional	TC	$15.20	$19.00	$37.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $10.72 / $14.85	Professional	26	$6.09	$10.72	$14.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $26.64 / $33.29	Professional		$23.31	$26.64	$33.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.29 / $7.18 / $8.98	Professional	26	$6.29	$7.18	$8.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $19.46 / $24.32	Professional	TC	$17.02	$19.46	$24.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $33.86 / $56.32	Professional		$24.07	$33.86	$56.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $10.19 / $16.57	Professional	26	$6.80	$10.19	$16.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $23.09 / $39.29	Professional	TC	$16.94	$23.09	$39.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $70.00 / $70.00	Facility	26	$18.72	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $98.42 / $98.42	Facility	TC	$45.82	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $29.59 / $187.12	Professional		$26.55	$29.59	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $9.10 / $51.02	Professional	26	$8.16	$9.10	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $20.93 / $136.11	Professional	TC	$18.38	$20.93	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $29.59 / $50.70	Professional		$26.55	$29.59	$50.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $8.66 / $15.59	Professional	26	$8.15	$8.66	$15.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $20.93 / $35.11	Professional	TC	$18.38	$20.93	$35.11