Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.19 / $29.39 / $39.90	Facility	26	$13.19	$29.39	$39.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $65.34 / $275.00	Professional		$23.83	$65.34	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $10.39 / $54.00	Professional	26	$8.83	$10.39	$54.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.01 / $56.50 / $109.79	Professional	TC	$15.01	$56.50	$109.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $22.42 / $25.34	Professional		$16.72	$22.42	$25.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $8.94 / $21.39	Professional	26	$6.71	$8.94	$21.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.09 / $27.61	Professional		$19.32	$22.09	$27.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $7.44 / $10.01	Professional	26	$6.51	$7.44	$10.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.82 / $14.65 / $18.30	Professional	TC	$12.82	$14.65	$18.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $38.86 / $145.29	Professional		$20.12	$38.86	$145.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.70 / $20.32	Professional	26	$7.95	$11.70	$20.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.17 / $25.92 / $124.56	Professional	TC	$12.17	$25.92	$124.56
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $132.00 / $132.00	Facility	26	$132.00	$132.00	$132.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $53.18 / $53.18 / $53.18	Facility	53	$53.18	$53.18	$53.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $61.23 / $761.56	Professional		$19.94	$61.23	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $10.11 / $132.00	Professional	26	$8.39	$10.11	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $48.31 / $705.08	Professional	TC	$11.35	$48.31	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $42.24 / $95.55	Professional		$19.94	$42.24	$95.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $9.10 / $18.21	Professional	26	$8.39	$9.10	$18.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $23.50 / $79.23	Professional	TC	$11.35	$23.50	$79.23