Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $81.28 / $112.20	Facility	26	$26.92	$81.28	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $338.84	Professional		$42.66	$93.33	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $39.81 / $97.72	Professional	26	$19.05	$39.81	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $42.66 / $151.36	Professional	TC	$19.05	$42.66	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $50.12	Professional		$33.11	$39.81	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $42.66	Professional	26	$18.20	$22.39	$42.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $24.55	Professional	TC	$12.88	$19.95	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $83.18	Professional		$42.66	$51.29	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $20.89 / $36.31	Professional	26	$18.62	$20.89	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $26.92 / $46.77	Professional	TC	$23.99	$26.92	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $26.92 / $38.02	Facility	26	$5.75	$26.92	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $138.04	Professional		$40.74	$81.28	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $47.86	Professional	26	$18.20	$25.12	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $42.66 / $100.00	Professional	TC	$20.89	$42.66	$100.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $114.82 / $114.82	Facility	26	$56.23	$114.82	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $575.44	Professional		$47.86	$97.72	$575.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $234.42	Professional	26	$19.05	$25.12	$234.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $70.79 / $398.11	Professional	TC	$23.44	$70.79	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $112.20	Professional		$47.86	$66.07	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $36.31	Professional	26	$19.05	$25.12	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $87.10	Professional	TC	$22.91	$34.67	$87.10