Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $9.55 / $54.95	Facility	26	$6.03	$9.55	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $57.54	Professional		$26.30	$37.15	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $19.95	Professional	26	$6.03	$7.94	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $46.77	Professional	TC	$20.89	$28.84	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $48.98	Professional		$25.70	$44.67	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.94 / $13.18	Professional	26	$6.31	$7.94	$13.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $36.31 / $42.66	Professional	TC	$23.44	$36.31	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $37.15 / $51.29	Professional		$8.32	$37.15	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $12.88	Facility	26	$8.13	$8.13	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $61.66	Professional		$25.12	$33.88	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.91 / $16.98	Professional	26	$7.41	$8.91	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.70 / $47.86	Professional	TC	$16.60	$25.70	$47.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $263.03	Professional		$29.51	$39.81	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $83.18	Professional	26	$7.76	$9.55	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $208.93	Professional	TC	$21.38	$28.84	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $54.95	Professional		$29.51	$36.31	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.51 / $13.49	Professional	26	$7.59	$8.51	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.54 / $39.81	Professional	TC	$21.38	$27.54	$39.81