Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $13.18 / $22.91	Facility	26	$10.23	$13.18	$22.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $104.71 / $389.05	Facility	TC	$29.51	$104.71	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $61.66	Professional		$28.84	$39.81	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $31.62	Professional	26	$8.91	$14.45	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $50.12	Professional	TC	$19.95	$26.92	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $54.95	Professional		$22.39	$26.92	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $8.71 / $12.88	Professional	26	$8.13	$8.71	$12.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.50 / $29.51	Professional	TC	$16.22	$19.50	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $72.44	Professional		$26.30	$43.65	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.45 / $23.99	Professional	26	$9.12	$14.45	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $51.29	Professional	TC	$18.62	$29.51	$51.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $70.79	Facility	26	$26.30	$26.30	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $54.95 / $117.49	Facility	TC	$54.95	$54.95	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $234.42	Professional		$33.11	$40.74	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.80 / $70.79	Professional	26	$11.22	$13.80	$70.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $165.96	Professional	TC	$21.88	$26.92	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $58.88	Professional		$33.11	$36.31	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.59 / $19.50	Professional	26	$11.22	$12.59	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $38.90	Professional	TC	$20.89	$24.55	$38.90