Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $39.90 / $54.19	Facility	26	$17.92	$39.90	$54.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $43.88 / $102.63 / $401.44	Facility	TC	$43.88	$102.63	$401.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $40.51 / $89.93	Professional		$30.65	$40.51	$89.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.43 / $12.67 / $23.88	Professional	26	$10.43	$12.67	$23.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.22 / $26.40 / $53.13	Professional	TC	$20.22	$26.40	$53.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $40.51 / $40.51	Professional		$40.51	$40.51	$40.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $14.76 / $17.70	Professional	26	$9.67	$14.76	$17.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $38.35 / $47.94	Professional		$33.56	$38.35	$47.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.41 / $14.26	Professional	26	$9.98	$11.41	$14.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $26.94 / $33.68	Professional	TC	$23.58	$26.94	$33.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $47.89 / $77.13	Professional		$34.74	$47.89	$77.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $16.38 / $26.92	Professional	26	$10.80	$16.38	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $30.73 / $52.49	Professional	TC	$23.51	$30.73	$52.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $70.00 / $70.00	Facility	26	$30.22	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.62 / $136.22 / $136.22	Facility	TC	$63.62	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $42.22 / $277.95	Professional		$37.44	$42.22	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $14.78 / $81.06	Professional	26	$13.10	$14.78	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $28.51 / $196.89	Professional	TC	$24.17	$28.51	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $42.22 / $79.20	Professional		$37.44	$42.22	$79.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $14.00 / $25.80	Professional	26	$12.95	$14.00	$25.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $28.51 / $46.25	Professional	TC	$24.17	$28.51	$46.25