Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.50 / $21.41 / $51.80	Facility	26	$11.50	$21.41	$51.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.44 / $49.85 / $159.55	Facility	TC	$29.44	$49.85	$159.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $35.90 / $133.63	Professional		$29.35	$35.90	$133.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $11.59 / $57.88	Professional	26	$9.35	$11.59	$57.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $24.00 / $48.73	Professional	TC	$19.44	$24.00	$48.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.29 / $36.51	Professional		$25.45	$32.29	$36.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $12.78 / $20.46	Professional	26	$8.44	$12.78	$20.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $33.25 / $41.56	Professional		$29.09	$33.25	$41.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $9.90 / $12.37	Professional	26	$8.66	$9.90	$12.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $23.35 / $29.19	Professional	TC	$20.43	$23.35	$29.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $40.36 / $65.84	Professional		$29.33	$40.36	$65.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $13.91 / $22.82	Professional	26	$9.36	$13.91	$22.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $26.40 / $45.62	Professional	TC	$20.19	$26.40	$45.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $70.00 / $70.00	Facility	26	$26.10	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $118.08 / $118.08	Facility	TC	$55.06	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $36.45 / $236.84	Professional		$32.00	$36.45	$236.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.51 / $70.37	Professional	26	$11.22	$12.51	$70.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $24.54 / $166.53	Professional	TC	$20.77	$24.54	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $36.45 / $61.11	Professional		$31.98	$36.45	$61.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $11.91 / $21.84	Professional	26	$11.21	$11.91	$21.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $24.54 / $43.91	Professional	TC	$20.75	$24.54	$43.91