Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $63.39 / $120.56	Professional		$32.53	$63.39	$120.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $10.98 / $34.46	Professional	26	$7.63	$10.98	$34.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $53.40 / $64.40	Professional	TC	$20.36	$53.40	$64.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $26.31 / $48.56	Professional		$20.23	$26.31	$48.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $12.66 / $14.77	Professional	26	$5.75	$12.66	$14.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $22.44 / $22.44	Professional	TC	$22.44	$22.44	$22.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $30.18 / $41.45	Professional		$18.18	$30.18	$41.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.03 / $8.35 / $11.47	Professional	26	$5.03	$8.35	$11.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.15 / $21.04 / $23.67	Professional	TC	$13.15	$21.04	$23.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $40.02 / $65.83	Professional		$19.97	$40.02	$65.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.29 / $10.83 / $17.20	Professional	26	$5.29	$10.83	$17.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.67 / $27.48 / $49.73	Professional	TC	$14.67	$27.48	$49.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $54.88 / $80.94	Facility		$38.11	$54.88	$80.94
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 Facility Modifier TC Low / Median / High Price $164.16 / $164.16 / $164.16	Facility	TC	$164.16	$164.16	$164.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.86 / $360.92	Professional		$25.12	$41.86	$360.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $11.91 / $191.54	Professional	26	$6.40	$11.91	$191.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $30.47 / $268.14	Professional	TC	$17.97	$30.47	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.17 / $57.96	Professional		$25.12	$37.17	$57.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $7.15 / $13.23	Professional	26	$6.50	$7.15	$13.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $29.95 / $43.46	Professional	TC	$17.97	$29.95	$43.46