Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.90 / $45.55 / $89.21	Facility	26	$26.90	$45.55	$89.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $72.02 / $251.00	Professional		$41.75	$72.02	$251.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $29.50 / $130.00	Professional	26	$21.37	$29.50	$130.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.11 / $57.84	Professional	TC	$20.39	$23.11	$57.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $41.96 / $74.06	Professional		$27.27	$41.96	$74.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.42 / $31.42 / $33.40	Professional	26	$31.42	$31.42	$33.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $37.19 / $56.65	Professional		$27.89	$37.19	$56.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $18.64 / $23.30	Professional	26	$13.98	$18.64	$23.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $18.55 / $23.19	Professional	TC	$13.91	$18.55	$23.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $64.20 / $98.89	Professional		$37.64	$64.20	$98.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $28.92 / $46.80	Professional	26	$19.92	$28.92	$46.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.72 / $31.17 / $55.61	Professional	TC	$17.72	$31.17	$55.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $105.96 / $105.96	Facility	26	$55.98	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $54.82 / $495.56	Professional		$44.25	$54.82	$495.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $26.69 / $151.44	Professional	26	$23.72	$26.69	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $29.44 / $367.63	Professional	TC	$20.05	$29.44	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $48.67 / $87.36	Professional		$44.25	$48.67	$87.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.72 / $25.62 / $44.62	Professional	26	$23.72	$25.62	$44.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $23.60 / $48.55	Professional	TC	$19.73	$23.60	$48.55