Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $26.30 / $28.84	Facility	26	$14.13	$26.30	$28.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $60.26 / $165.96	Facility	TC	$33.11	$60.26	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $75.86	Professional		$33.11	$41.69	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $32.36	Professional	26	$10.00	$15.14	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $46.77	Professional	TC	$21.88	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $36.31	Professional		$26.30	$30.90	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.55 / $22.39	Professional	26	$8.71	$9.55	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	TC	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $83.18	Professional		$30.90	$51.29	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $28.84	Professional	26	$10.96	$16.98	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $58.88	Professional	TC	$21.88	$33.88	$58.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $70.79	Facility	26	$30.20	$30.20	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $63.10 / $134.90	Facility	TC	$63.10	$63.10	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $275.42	Professional		$38.90	$47.86	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $81.28	Professional	26	$12.88	$16.22	$81.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $194.98	Professional	TC	$25.12	$31.62	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $67.61	Professional		$38.90	$42.66	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.79 / $22.91	Professional	26	$12.88	$14.79	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.18 / $45.71	Professional	TC	$24.55	$28.18	$45.71