Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.12 / $13.19 / $20.60	Facility	26	$11.12	$13.19	$20.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.32 / $104.68 / $371.48	Facility	TC	$29.32	$104.68	$371.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $36.18 / $43.98	Professional		$30.19	$36.18	$43.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $11.02 / $17.17	Professional	26	$10.31	$11.02	$17.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $25.16 / $34.71	Professional	TC	$19.89	$25.16	$34.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $29.41 / $61.03	Professional		$26.39	$29.41	$61.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $8.42 / $11.79	Professional	26	$8.19	$8.42	$11.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $29.56 / $29.56	Professional	TC	$19.32	$29.56	$29.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $50.45 / $50.45	Professional		$50.45	$50.45	$50.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $47.44 / $71.54	Professional		$27.61	$47.44	$71.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $16.19 / $20.64	Professional	26	$9.19	$16.19	$20.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.70 / $31.42 / $50.30	Professional	TC	$17.70	$31.42	$50.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $26.10 / $70.00	Facility	26	$26.10	$26.10	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $55.06 / $118.08	Facility	TC	$55.06	$55.06	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $41.13 / $236.84	Professional		$34.79	$41.13	$236.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $14.12 / $70.37	Professional	26	$11.89	$14.12	$70.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $26.99 / $166.53	Professional	TC	$22.35	$26.99	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $36.45 / $58.32	Professional		$33.90	$36.45	$58.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $13.62 / $22.73	Professional	26	$11.77	$13.62	$22.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $24.25 / $40.26	Professional	TC	$21.64	$24.25	$40.26