Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $19.07 / $33.64	Professional		$14.09	$19.07	$33.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $12.01 / $24.60	Professional	26	$8.33	$12.01	$24.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.77 / $6.90 / $13.01	Professional	TC	$5.77	$6.90	$13.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $21.29 / $23.22	Professional		$21.29	$21.29	$23.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $13.81 / $16.11	Professional	26	$8.50	$13.81	$16.11
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 $8.94 / $14.30 / $16.09	Professional		$8.94	$14.30	$16.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.49 / $8.77 / $9.88	Professional	26	$5.49	$8.77	$9.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.45 / $5.52 / $6.21	Professional	TC	$3.45	$5.52	$6.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $17.25 / $25.89	Professional		$9.49	$17.25	$25.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.77 / $11.84 / $17.50	Professional	26	$5.77	$11.84	$17.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.26 / $4.47 / $10.92	Professional	TC	$3.26	$4.47	$10.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $22.00 / $34.53	Facility		$15.56	$22.00	$34.53
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 $10.82 / $21.28 / $130.47	Professional		$10.82	$21.28	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $12.99 / $95.76	Professional	26	$6.98	$12.99	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.68 / $8.30 / $95.76	Professional	TC	$3.68	$8.30	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.21 / $27.44	Professional		$10.82	$13.21	$27.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $7.80 / $16.20	Professional	26	$6.98	$7.80	$16.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.76 / $5.41 / $11.62	Professional	TC	$3.76	$5.41	$11.62