Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.39 / $7.66 / $11.83	Facility	26	$6.39	$7.66	$11.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.14 / $42.44 / $203.50	Facility	TC	$23.14	$42.44	$203.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $28.59 / $34.18	Professional		$21.96	$28.59	$34.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.34 / $9.81	Professional	26	$5.53	$6.34	$9.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $22.26 / $30.69	Professional	TC	$21.01	$22.26	$30.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.54 / $21.54	Professional		$21.54	$21.54	$21.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $4.84 / $6.73	Professional	26	$4.68	$4.84	$6.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $21.89 / $21.89	Professional	TC	$21.89	$21.89	$21.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Professional		$41.54	$41.54	$41.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $35.52 / $51.98	Professional		$20.52	$35.52	$51.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.32 / $9.13 / $11.90	Professional	26	$5.32	$9.13	$11.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $30.17 / $44.47	Professional	TC	$17.34	$30.17	$44.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $14.85 / $100.00	Facility	26	$14.85	$14.85	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $102.96 / $276.95	Facility	TC	$47.96	$102.96	$276.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $31.89 / $187.25	Professional		$25.51	$31.89	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $8.14 / $54.49	Professional	26	$6.06	$8.14	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $24.19 / $146.99	Professional	TC	$19.45	$24.19	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $28.51 / $46.18	Professional		$25.51	$28.51	$46.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $6.99 / $11.22	Professional	26	$6.06	$6.99	$11.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $21.39 / $36.81	Professional	TC	$19.45	$21.39	$36.81