Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $10.38	Facility	26	$10.38	$10.38	$10.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.72 / $38.86 / $231.90	Facility	TC	$22.72	$38.86	$231.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $38.09 / $43.58	Professional		$27.22	$38.09	$43.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.05 / $12.92	Professional	26	$8.58	$12.05	$12.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $25.42 / $29.73	Professional	TC	$18.64	$25.42	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $41.56 / $41.56	Professional		$41.56	$41.56	$41.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $16.04 / $20.21	Professional	26	$9.44	$16.04	$20.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $39.54 / $54.31	Professional		$13.23	$39.54	$54.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.64 / $20.64 / $20.64	Facility	26	$20.64	$20.64	$20.64
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $34.20 / $34.20 / $34.20	Facility	TC	$34.20	$34.20	$34.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $36.58 / $55.36	Professional		$29.80	$36.58	$55.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.60 / $19.55	Professional	26	$10.86	$12.60	$19.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $24.11 / $37.64	Professional	TC	$18.93	$24.11	$37.64
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 $34.18 / $41.69 / $277.95	Professional		$34.18	$41.69	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $14.78 / $81.06	Professional	26	$11.77	$14.78	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $27.08 / $196.89	Professional	TC	$21.38	$27.08	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $40.79 / $64.04	Professional		$33.90	$40.79	$64.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $13.71 / $21.45	Professional	26	$11.66	$13.71	$21.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $26.91 / $45.17	Professional	TC	$21.35	$26.91	$45.17