Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $34.67 / $251.19	Facility	TC	$21.88	$34.67	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $64.57	Professional		$30.90	$39.81	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $31.62	Professional	26	$10.00	$12.02	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.92 / $43.65	Professional	TC	$20.89	$26.92	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $54.95	Professional		$31.62	$32.36	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.30 / $16.98	Professional	26	$9.55	$12.30	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $39.81 / $53.70	Professional		$12.88	$39.81	$53.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	TC	$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $66.07	Professional		$28.84	$38.90	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $23.44	Professional	26	$10.47	$13.80	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $45.71	Professional	TC	$18.20	$26.30	$45.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $70.79 / $70.79	Facility	26	$30.20	$70.79	$70.79
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.10 / $134.90 / $134.90	Facility	TC	$63.10	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $275.42	Professional		$33.88	$42.66	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.79 / $81.28	Professional	26	$11.75	$14.79	$81.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $194.98	Professional	TC	$21.38	$26.92	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $60.26	Professional		$33.88	$39.81	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.80 / $20.89	Professional	26	$11.48	$13.80	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $26.92 / $39.81	Professional	TC	$21.38	$26.92	$39.81