Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $60.26	Professional		$12.88	$20.89	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.70 / $83.18	Professional	26	$8.91	$25.70	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $24.55	Professional	TC	$5.01	$7.08	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $23.44	Professional		$12.59	$12.59	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.77 / $16.22	Professional	26	$9.12	$9.77	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $5.89 / $5.89	Professional	TC	$5.89	$5.89	$5.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $20.42	Professional		$14.45	$14.79	$20.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.12 / $12.59	Professional	26	$8.71	$9.12	$12.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $5.75 / $7.94	Professional	TC	$5.50	$5.75	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.05 / $25.70	Professional		$9.33	$19.05	$25.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $12.02 / $16.60	Professional	26	$5.75	$12.02	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $5.37 / $10.96	Professional	TC	$3.09	$5.37	$10.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $34.67	Facility		$15.49	$22.39	$34.67
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $131.83	Professional		$10.72	$21.38	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.88 / $95.50	Professional	26	$6.92	$12.88	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $8.32 / $95.50	Professional	TC	$3.72	$8.32	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $18.20	Facility		$7.24	$10.96	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $28.18	Professional		$10.72	$13.18	$28.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $7.76 / $16.60	Professional	26	$6.76	$7.76	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.37 / $11.75	Professional	TC	$3.72	$5.37	$11.75