Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.59 / $12.30 / $25.77	Facility	26	$6.59	$12.30	$25.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.98 / $43.46 / $164.31	Facility	TC	$30.98	$43.46	$164.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $33.97 / $123.00	Professional		$24.11	$33.97	$123.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.27 / $6.52 / $25.00	Professional	26	$5.27	$6.52	$25.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $23.92 / $49.23	Professional	TC	$19.09	$23.92	$49.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $25.26 / $29.30	Professional		$19.97	$25.26	$29.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.84 / $7.29 / $14.49	Professional	26	$4.84	$7.29	$14.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $25.38 / $32.02	Professional		$22.21	$25.38	$32.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.40 / $5.03 / $6.60	Professional	26	$4.40	$5.03	$6.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $20.35 / $25.44	Professional	TC	$17.80	$20.35	$25.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $33.43 / $58.35	Professional		$23.71	$33.43	$58.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.38 / $7.54 / $13.11	Professional	26	$5.38	$7.54	$13.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $25.20 / $46.37	Professional	TC	$18.16	$25.20	$46.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $102.96 / $102.96 / $102.96	Facility	TC	$102.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $30.03 / $187.25	Professional		$25.53	$30.03	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $6.86 / $54.49	Professional	26	$6.06	$6.86	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $23.38 / $146.99	Professional	TC	$19.61	$23.38	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $28.51 / $49.68	Professional		$24.84	$28.51	$49.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $6.86 / $11.51	Professional	26	$5.92	$6.86	$11.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $22.16 / $38.17	Professional	TC	$19.07	$22.16	$38.17