Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $9.00 / $15.53	Facility	26	$8.89	$9.00	$15.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.22 / $250.95 / $320.19	Facility	TC	$19.22	$250.95	$320.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $32.64 / $37.20	Professional		$23.54	$32.64	$37.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $10.43 / $11.90	Professional	26	$7.46	$10.43	$11.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $21.82 / $25.97	Professional	TC	$16.09	$21.82	$25.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $10.55 / $17.48	Professional	26	$8.24	$10.55	$17.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $29.19 / $29.19	Professional	TC	$29.19	$29.19	$29.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $34.29 / $47.10	Professional		$11.20	$34.29	$47.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.66 / $17.66 / $17.66	Facility	26	$17.66	$17.66	$17.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.35 / $29.35 / $29.35	Facility	TC	$29.35	$29.35	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $31.57 / $47.57	Professional		$25.50	$31.57	$47.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $10.92 / $16.64	Professional	26	$9.25	$10.92	$16.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.26 / $20.72 / $32.61	Professional	TC	$16.26	$20.72	$32.61
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 / $180.01	Facility	TC	$55.06	$118.08	$180.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $35.61 / $236.84	Professional		$29.20	$35.61	$236.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $12.51 / $70.37	Professional	26	$10.17	$12.51	$70.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.41 / $23.31 / $166.53	Professional	TC	$18.41	$23.31	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $34.79 / $55.10	Professional		$29.11	$34.79	$55.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.91 / $19.05	Professional	26	$10.11	$11.91	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $23.31 / $38.72	Professional	TC	$18.34	$23.31	$38.72