Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $15.49	Facility	26	$8.91	$8.91	$15.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $208.93 / $323.59	Facility	TC	$19.05	$208.93	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $56.23	Professional		$26.92	$34.67	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $28.18	Professional	26	$8.91	$12.88	$28.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $48.98	Professional	TC	$18.20	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $51.29	Professional		$23.44	$33.11	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.23 / $17.38	Professional	26	$8.32	$10.23	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $37.15	Professional	TC	$22.39	$27.54	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $34.67 / $46.77	Professional		$11.22	$34.67	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Facility	26	$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	TC	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $57.54	Professional		$24.55	$33.11	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.75 / $19.95	Professional	26	$8.91	$11.75	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $22.39 / $39.81	Professional	TC	$15.49	$22.39	$39.81
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 / $181.97	Facility	TC	$54.95	$117.49	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $234.42	Professional		$29.51	$36.31	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $70.79	Professional	26	$10.00	$12.30	$70.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $165.96	Professional	TC	$18.62	$23.44	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $51.29	Professional		$28.84	$34.67	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.75 / $17.78	Professional	26	$10.00	$11.75	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.44 / $34.67	Professional	TC	$18.62	$23.44	$34.67