Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.16 / $6.13 / $9.61	Facility	26	$5.16	$6.13	$9.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.97 / $31.31 / $225.86	Facility	TC	$16.97	$31.31	$225.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $27.15 / $32.65	Professional		$18.51	$27.15	$32.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.34 / $5.87 / $6.52	Professional	26	$4.34	$5.87	$6.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.17 / $20.96 / $26.19	Professional	TC	$14.17	$20.96	$26.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $42.89	Professional		$28.83	$28.83	$42.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $5.91 / $7.98	Professional	26	$4.73	$5.91	$7.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $23.48 / $32.44	Professional	TC	$23.48	$23.48	$32.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $26.60 / $36.53	Professional		$6.30	$26.60	$36.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.83 / $5.83 / $9.55	Facility	26	$5.83	$5.83	$9.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.16 / $16.16 / $20.82	Facility	TC	$16.16	$16.16	$20.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $24.49 / $41.50	Professional		$21.92	$24.49	$41.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.29 / $6.27 / $9.52	Professional	26	$5.29	$6.27	$9.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $18.79 / $32.00	Professional	TC	$16.30	$18.79	$32.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $100.00 / $100.00	Facility	26	$14.85	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $102.96 / $102.96	Facility	TC	$47.96	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $31.25 / $187.25	Professional		$24.23	$31.25	$187.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $6.88 / $54.49	Professional	26	$5.83	$6.88	$54.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $21.57 / $146.99	Professional	TC	$18.05	$21.57	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $27.08 / $45.62	Professional		$23.89	$27.08	$45.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $6.51 / $10.29	Professional	26	$5.83	$6.51	$10.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $20.56 / $32.47	Professional	TC	$17.64	$20.56	$32.47