Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.96 / $14.79	Facility	26	$7.08	$10.96	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $97.72	Professional		$28.18	$39.81	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $24.55	Professional	26	$7.08	$9.12	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $83.18	Professional	TC	$20.42	$28.18	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $47.86	Professional		$25.70	$31.62	$47.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $14.13	Professional	26	$7.08	$9.12	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $43.65	Professional	TC	$21.88	$33.88	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $34.67 / $47.86	Professional		$9.33	$34.67	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $9.12 / $14.79	Facility	26	$9.12	$9.12	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $123.03	Professional		$33.88	$64.57	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $16.60	Professional	26	$8.32	$10.47	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $51.29 / $102.33	Professional	TC	$25.12	$51.29	$102.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $79.43 / $79.43	Facility	26	$38.90	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $537.03	Professional		$33.88	$48.98	$537.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $97.72	Professional	26	$7.76	$10.00	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $36.31 / $489.78	Professional	TC	$23.99	$36.31	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $100.00	Professional		$32.36	$40.74	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.00 / $14.79	Professional	26	$7.41	$10.00	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $89.13	Professional	TC	$23.99	$30.90	$89.13