Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.62 / $17.73 / $29.19	Facility	26	$14.62	$17.73	$29.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.22 / $62.22 / $128.72	Facility	TC	$34.22	$62.22	$128.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $42.05 / $59.58	Professional		$35.22	$42.05	$59.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $12.69 / $19.55	Professional	26	$12.06	$12.69	$19.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $28.47 / $34.22	Professional	TC	$23.17	$28.47	$34.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $9.47 / $10.11	Professional	26	$9.46	$9.47	$10.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $58.48 / $58.48	Professional		$58.48	$58.48	$58.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $54.06 / $76.43	Professional		$31.41	$54.06	$76.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.90 / $18.67 / $24.43	Professional	26	$10.90	$18.67	$24.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $36.57 / $58.65	Professional	TC	$20.59	$36.57	$58.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $30.22 / $70.00	Facility	26	$30.22	$30.22	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.62 / $63.62 / $136.22	Facility	TC	$63.62	$63.62	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $47.66 / $277.95	Professional		$40.75	$47.66	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $16.27 / $81.06	Professional	26	$13.70	$16.27	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $31.36 / $196.89	Professional	TC	$26.00	$31.36	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $46.44 / $67.81	Professional		$40.10	$46.44	$67.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $15.08 / $23.53	Professional	26	$13.57	$15.08	$23.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $28.60 / $48.10	Professional	TC	$26.00	$28.60	$48.10