Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $27.54 / $151.36	Facility	26	$19.05	$27.54	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $128.82	Professional		$37.15	$52.48	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.92 / $58.88	Professional	26	$19.05	$26.92	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $36.31	Professional	TC	$15.85	$21.88	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $70.79	Professional		$27.54	$41.69	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $33.11	Professional	26	$18.20	$22.39	$33.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	TC	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $60.26	Professional		$23.99	$43.65	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $38.02	Facility	26	$22.39	$22.39	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $91.20	Professional		$34.67	$45.71	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.44 / $39.81	Professional	26	$18.62	$23.44	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $22.91 / $52.48	Professional	TC	$15.49	$22.91	$52.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $107.15 / $107.15	Facility	26	$56.23	$107.15	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $501.19	Professional		$40.74	$56.23	$501.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $27.54 / $151.36	Professional	26	$21.88	$27.54	$151.36
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $371.54	Professional	TC	$18.62	$25.70	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $81.28	Professional		$38.02	$50.12	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $36.31	Professional	26	$20.89	$26.92	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.91 / $46.77	Professional	TC	$17.78	$22.91	$46.77