Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $54.35 / $95.59	Professional		$21.27	$54.35	$95.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.62 / $6.48 / $13.56	Professional	26	$4.62	$6.48	$13.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $48.47 / $62.69	Professional	TC	$16.88	$48.47	$62.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $28.41 / $37.86	Professional		$18.82	$28.41	$37.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $7.64 / $8.92	Professional	26	$4.73	$7.64	$8.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $22.58 / $25.40	Professional		$14.11	$22.58	$25.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.04 / $4.86 / $5.47	Professional	26	$3.04	$4.86	$5.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.07 / $17.71 / $19.93	Professional	TC	$11.07	$17.71	$19.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $30.27 / $49.00	Professional		$15.65	$30.27	$49.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.21 / $6.43 / $10.68	Professional	26	$3.21	$6.43	$10.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.09 / $23.06 / $41.93	Professional	TC	$11.09	$23.06	$41.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $41.33 / $62.43	Facility		$30.16	$41.33	$62.43
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 $18.84 / $31.40 / $263.07	Professional		$18.84	$31.40	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.88 / $7.22 / $145.30	Professional	26	$3.88	$7.22	$145.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $25.70 / $226.21	Professional	TC	$14.51	$25.70	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $29.00 / $42.39	Professional		$18.84	$29.00	$42.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.86 / $4.33 / $9.31	Professional	26	$3.86	$4.33	$9.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $24.18 / $43.52	Professional	TC	$14.51	$24.18	$43.52