Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $38.90 / $53.70	Facility	26	$12.59	$38.90	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $89.13 / $263.03	Facility	TC	$29.51	$89.13	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $144.54	Professional		$28.84	$50.12	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.98 / $50.12	Professional	26	$8.91	$16.98	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $89.13	Professional	TC	$19.05	$28.18	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $41.69	Professional		$22.39	$27.54	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $19.05	Professional	26	$8.13	$10.23	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.42 / $42.66	Professional	TC	$15.49	$20.42	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $66.07	Professional		$28.84	$36.31	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.22 / $19.95	Professional	26	$8.71	$11.22	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $46.77	Professional	TC	$20.42	$25.12	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.69 / $12.59 / $18.20	Facility	26	$2.69	$12.59	$18.20
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $28.18 / $40.74	Facility	TC	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $70.79	Professional		$28.18	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $23.99	Professional	26	$8.91	$13.80	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $51.29	Professional	TC	$19.05	$26.30	$51.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $70.79 / $70.79	Facility	26	$26.30	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $117.49 / $117.49	Facility	TC	$54.95	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $234.42	Professional		$31.62	$36.31	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.59 / $70.79	Professional	26	$11.22	$12.59	$70.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $165.96	Professional	TC	$20.89	$24.55	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $53.70	Professional		$31.62	$36.31	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.02 / $18.62	Professional	26	$10.96	$12.02	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $36.31	Professional	TC	$20.89	$24.55	$36.31