Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $77.62 / $95.50	Facility		$3.72	$77.62	$95.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $33.88 / $37.15	Facility	26	$26.92	$33.88	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $50.12	Professional		$10.00	$15.14	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.12 / $36.31	Professional	26	$6.03	$9.12	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $12.30	Professional	50	$11.48	$11.48	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.98 / $14.13	Professional	TC	$2.00	$3.98	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.51 / $14.79	Professional		$8.13	$8.51	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $8.13 / $12.02	Facility		$2.51	$8.13	$12.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.47 / $18.20	Professional		$9.33	$10.47	$18.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.92 / $12.02	Professional	26	$6.17	$6.92	$12.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $3.63 / $6.31	Professional	TC	$3.24	$3.63	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $18.20 / $75.86	Facility		$6.61	$18.20	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $26.30	Professional		$10.00	$14.79	$26.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.00 / $17.38	Professional	26	$6.61	$10.00	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.57 / $8.91	Professional	TC	$3.02	$4.57	$8.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.80 / $28.18	Facility		$10.72	$13.80	$28.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $100.00 / $100.00	Facility	26	$17.78	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $1,412.54	Professional		$11.48	$14.79	$1,412.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.77 / $1,288.25	Professional	26	$7.76	$9.77	$1,288.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $4.90 / $977.24	Professional	TC	$3.63	$4.90	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $20.89 / $27.54	Facility		$2.88	$20.89	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $19.95	Professional		$11.22	$13.49	$19.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.55 / $13.80	Professional	26	$7.59	$9.55	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $4.07 / $6.61	Professional	TC	$3.55	$4.07	$6.61