Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.78 / $50.26 / $62.82	Facility	26	$20.78	$50.26	$62.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $55.16 / $87.24	Professional		$30.76	$55.16	$87.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.68 / $33.56	Professional	26	$12.37	$14.68	$33.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $41.56 / $63.64	Professional	TC	$19.91	$41.56	$63.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $24.86 / $26.52	Professional	26	$11.45	$24.86	$26.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $35.58 / $44.48	Professional		$31.14	$35.58	$44.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $11.94 / $14.92	Professional	26	$10.44	$11.94	$14.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $23.65 / $29.56	Professional	TC	$20.69	$23.65	$29.56
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 $33.61 / $59.82 / $107.17	Professional		$33.61	$59.82	$107.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $18.73 / $31.83	Professional	26	$12.76	$18.73	$31.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $39.54 / $78.38	Professional	TC	$20.71	$39.54	$78.38
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 $40.54 / $67.20 / $390.88	Professional		$40.54	$67.20	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.97 / $16.59 / $103.00	Professional	26	$14.97	$16.59	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $46.17 / $301.75	Professional	TC	$24.54	$46.17	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $51.40 / $91.03	Professional		$40.28	$51.40	$91.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $16.23 / $29.53	Professional	26	$14.76	$16.23	$29.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.24 / $34.85 / $64.93	Professional	TC	$23.24	$34.85	$64.93