Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $63.55 / $106.84	Facility	26	$32.07	$63.55	$106.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $66.73 / $206.00	Professional		$26.36	$66.73	$206.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $34.13 / $134.36	Professional	26	$17.17	$34.13	$134.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $22.22 / $81.20	Professional	TC	$9.18	$22.22	$81.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $48.70 / $63.68	Professional		$39.79	$48.70	$63.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $28.00 / $60.78	Professional	26	$24.94	$28.00	$60.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $23.23 / $23.23	Professional	TC	$23.23	$23.23	$23.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $54.46 / $68.06	Professional		$40.84	$54.46	$68.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.51 / $26.01 / $32.51	Professional	26	$19.51	$26.01	$32.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $28.45 / $35.56	Professional	TC	$21.34	$28.45	$35.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $50.07 / $100.58	Professional		$33.38	$50.07	$100.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.14 / $28.00 / $49.97	Professional	26	$21.14	$28.00	$49.97
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.87 / $74.87 / $74.87	Professional	50	$74.87	$74.87	$74.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.78 / $16.69 / $54.65	Professional	TC	$9.78	$16.69	$54.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $148.36 / $148.36	Facility	26	$77.38	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $58.10 / $359.16	Professional		$32.82	$58.10	$359.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $25.06 / $197.46	Professional	26	$21.44	$25.06	$197.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.89 / $28.22 / $214.27	Professional	TC	$10.89	$28.22	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $56.22 / $100.91	Professional		$32.82	$56.22	$100.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $24.90 / $45.66	Professional	26	$21.76	$24.90	$45.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.89 / $21.60 / $43.16	Professional	TC	$10.89	$21.60	$43.16