Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $15.22 / $23.09	Facility	26	$12.30	$15.22	$23.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $46.56 / $52.75	Professional		$31.55	$46.56	$52.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $14.39 / $15.82	Professional	26	$10.14	$14.39	$15.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $31.88 / $35.03	Professional	TC	$21.41	$31.88	$35.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Professional		$67.63	$67.63	$67.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $14.18 / $24.26	Professional	26	$11.47	$14.18	$24.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $35.34 / $35.34	Professional	TC	$35.34	$35.34	$35.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $45.85 / $62.96	Professional		$15.05	$45.85	$62.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.67 / $14.67 / $23.26	Facility	26	$14.67	$14.67	$23.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $42.55 / $69.86	Professional		$38.07	$42.55	$69.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $14.91 / $23.25	Professional	26	$12.92	$14.91	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $28.75 / $46.61	Professional	TC	$24.39	$28.75	$46.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $56.28 / $321.19	Professional		$41.72	$56.28	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.90 / $17.21 / $128.79	Professional	26	$13.90	$17.21	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $32.84 / $254.00	Professional	TC	$26.27	$32.84	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $47.38 / $74.47	Professional		$39.20	$47.38	$74.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $15.43 / $24.36	Professional	26	$13.81	$15.43	$24.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $31.82 / $50.54	Professional	TC	$24.63	$31.82	$50.54