Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.70 / $58.88	Professional		$10.00	$25.70	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.61 / $24.55	Professional	26	$3.02	$6.61	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $16.98 / $35.48	Professional	TC	$7.08	$16.98	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $5.01 / $6.17	Professional	26	$2.24	$5.01	$6.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $16.22	Professional		$11.22	$11.75	$16.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $3.24 / $4.47	Professional	26	$3.16	$3.24	$4.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $8.51 / $11.75	Professional	TC	$8.13	$8.51	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $22.39	Professional		$7.76	$15.14	$22.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $4.27 / $5.89	Professional	26	$2.04	$4.27	$5.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $10.72 / $19.95	Professional	TC	$5.13	$10.72	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $28.84	Facility		$14.79	$21.38	$28.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $123.03	Professional		$9.55	$15.85	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $4.68 / $87.10	Professional	26	$2.51	$4.68	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $97.72	Professional	TC	$6.76	$11.22	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $13.18	Facility		$5.25	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $22.91	Professional		$9.55	$13.80	$22.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $2.82 / $6.03	Professional	26	$2.51	$2.82	$6.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $17.78	Professional	TC	$6.76	$11.22	$17.78