Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.50 / $9.50 / $9.50	Facility	26	$9.50	$9.50	$9.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $35.90 / $155.19	Professional		$27.76	$35.90	$155.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $13.91 / $39.71	Professional	26	$9.58	$13.91	$39.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $21.58 / $34.51	Professional	TC	$18.13	$21.58	$34.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $29.86 / $49.81	Professional		$28.72	$29.86	$49.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $27.69 / $34.61	Professional		$24.23	$27.69	$34.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $9.44 / $11.81	Professional	26	$8.27	$9.44	$11.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.96 / $18.23 / $22.80	Professional	TC	$15.96	$18.23	$22.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $43.43 / $83.16	Professional		$29.89	$43.43	$83.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $16.63 / $30.74	Professional	26	$10.34	$16.63	$30.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $26.50 / $52.80	Professional	TC	$19.54	$26.50	$52.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.22 / $70.00 / $70.00	Facility	26	$24.22	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $42.42 / $195.66	Professional		$32.54	$42.42	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $16.76 / $69.84	Professional	26	$12.66	$16.76	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $25.62 / $129.61	Professional	TC	$19.76	$25.62	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $38.38 / $72.72	Professional		$30.84	$38.38	$72.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $15.31 / $26.48	Professional	26	$12.41	$15.31	$26.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $23.45 / $43.19	Professional	TC	$19.20	$23.45	$43.19