Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.23 / $29.82 / $61.30	Facility	26	$21.23	$29.82	$61.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $50.31 / $104.60	Professional		$40.07	$50.31	$104.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.65 / $15.82 / $35.17	Professional	26	$12.65	$15.82	$35.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $34.20 / $65.13	Professional	TC	$26.93	$34.20	$65.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.13 / $37.39	Professional		$37.13	$37.13	$37.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $14.69 / $20.36	Professional	26	$11.96	$14.69	$20.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $43.34 / $54.18	Professional		$37.93	$43.34	$54.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $12.21 / $15.26	Professional	26	$10.68	$12.21	$15.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.24 / $31.14 / $38.92	Professional	TC	$27.24	$31.14	$38.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $58.16 / $94.92	Professional		$41.07	$58.16	$94.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $18.52 / $31.83	Professional	26	$13.04	$18.52	$31.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $37.11 / $66.36	Professional	TC	$27.66	$37.11	$66.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $49.40 / $321.19	Professional		$44.76	$49.40	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $16.51 / $128.79	Professional	26	$14.88	$16.51	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.75 / $33.69 / $254.00	Professional	TC	$29.75	$33.69	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $49.08 / $84.02	Professional		$44.31	$49.08	$84.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $16.23 / $28.81	Professional	26	$14.81	$16.23	$28.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.71 / $32.84 / $61.19	Professional	TC	$28.71	$32.84	$61.19