Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $56.23 / $186.21	Professional		$21.38	$56.23	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $18.62 / $47.86	Professional	26	$5.01	$18.62	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $41.69 / $100.00	Professional	TC	$15.85	$41.69	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $38.02	Professional		$17.38	$28.18	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $7.59 / $9.55	Professional	26	$5.13	$7.59	$9.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	TC	$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $32.36	Professional		$22.39	$23.44	$32.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $5.01 / $6.92	Professional	26	$4.90	$5.01	$6.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $18.20 / $25.12	Professional	TC	$17.78	$18.20	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.20 / $47.86	Professional		$15.49	$30.20	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.61 / $9.12	Professional	26	$3.24	$6.61	$9.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $23.44 / $45.71	Professional	TC	$10.96	$23.44	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $63.10	Facility		$30.20	$42.66	$63.10
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 $19.05 / $31.62 / $263.03	Professional		$19.05	$31.62	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $7.24 / $144.54	Professional	26	$3.89	$7.24	$144.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $25.70 / $223.87	Professional	TC	$14.45	$25.70	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $25.12	Facility		$10.00	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $47.86	Professional		$19.05	$29.51	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $4.37 / $9.33	Professional	26	$3.89	$4.37	$9.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $23.99 / $38.02	Professional	TC	$14.45	$23.99	$38.02