Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.09 / $10.65 / $51.79	Facility	26	$9.09	$10.65	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $28.58 / $171.00	Professional		$24.59	$28.58	$171.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $10.39 / $51.30	Professional	26	$9.38	$10.39	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.01 / $16.17 / $119.70	Professional	TC	$15.01	$16.17	$119.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $38.24	Professional		$25.59	$25.59	$38.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $8.67 / $14.85	Professional	26	$7.00	$8.67	$14.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $23.39 / $23.39	Professional	TC	$23.39	$23.39	$23.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $21.00 / $28.84	Professional		$9.44	$21.00	$28.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $15.20	Facility	26	$9.61	$9.61	$15.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $33.19 / $102.65	Professional		$19.47	$33.19	$102.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.24 / $9.44 / $14.65	Professional	26	$8.24	$9.44	$14.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.99 / $20.91 / $75.34	Professional	TC	$10.99	$20.91	$75.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.20 / $132.00 / $132.00	Facility	26	$58.20	$132.00	$132.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10.91 / $53.18 / $53.18	Facility	53	$10.91	$53.18	$53.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $33.22 / $761.56	Professional		$21.05	$33.22	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.75 / $132.00	Professional	26	$8.71	$10.75	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $25.33 / $705.08	Professional	TC	$11.35	$25.33	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $25.81 / $87.94	Professional		$19.94	$25.81	$87.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.11 / $16.12	Professional	26	$8.71	$10.11	$16.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.32 / $14.87 / $79.23	Professional	TC	$11.32	$14.87	$79.23