Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.30 / $16.98	Facility	26	$7.94	$12.30	$16.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.30 / $102.33 / $512.86	Facility	TC	$26.30	$102.33	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $43.65 / $114.82	Professional		$20.89	$43.65	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.98 / $54.95	Professional	26	$8.71	$16.98	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $87.10 / $223.87	Professional	50	$33.11	$87.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $72.44	Professional	TC	$25.70	$36.31	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $61.66	Professional		$30.90	$38.02	$61.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.77 / $17.78	Professional	26	$8.13	$9.77	$17.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $61.66 / $95.50	Professional	50	$52.48	$61.66	$95.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $54.95	Professional	TC	$28.84	$42.66	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $41.69 / $57.54	Professional		$10.96	$41.69	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $16.22	Facility	26	$10.00	$10.00	$16.22
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $21.88 / $30.90	Facility	TC	$21.88	$21.88	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $70.79	Professional		$32.36	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $11.22 / $21.88	Professional	26	$9.33	$11.22	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $51.29	Professional	TC	$21.88	$29.51	$51.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $100.00 / $100.00	Facility	26	$25.70	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $77.62 / $165.96 / $251.19	Facility	TC	$77.62	$165.96	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $295.12	Professional		$37.15	$45.71	$295.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $87.10	Professional	26	$9.77	$12.02	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $229.09	Professional	TC	$25.70	$32.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $64.57	Professional		$34.67	$42.66	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.96 / $17.38	Professional	26	$9.77	$10.96	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $30.20 / $47.86	Professional	TC	$24.55	$30.20	$47.86