Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $34.17 / $55.37	Professional		$24.37	$34.17	$55.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $15.61 / $19.32	Professional	26	$11.45	$15.61	$19.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $17.77 / $35.96	Professional	TC	$12.92	$17.77	$35.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $31.70 / $31.70	Professional		$31.70	$31.70	$31.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $18.04 / $18.04	Professional	26	$18.04	$18.04	$18.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $20.02 / $20.02	Professional	TC	$20.02	$20.02	$20.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $29.81 / $32.79	Facility		$29.81	$29.81	$32.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $32.04	Professional		$26.84	$26.84	$32.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $12.64 / $15.10	Professional	26	$12.64	$12.64	$15.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $14.20 / $16.95	Professional	TC	$14.20	$14.20	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $40.78 / $72.27	Professional		$27.05	$40.78	$72.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $16.50 / $26.06	Professional	26	$13.14	$16.50	$26.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $21.98 / $46.21	Professional	TC	$14.41	$21.98	$46.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $34.86 / $64.37	Facility		$26.09	$34.86	$64.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $100.00 / $100.00	Facility	26	$36.40	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $44.48 / $354.38	Professional		$29.15	$44.48	$354.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $17.16 / $98.32	Professional	26	$14.03	$17.16	$98.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $27.55 / $180.44	Professional	TC	$15.04	$27.55	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $41.15 / $58.52	Professional		$28.50	$41.15	$58.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.10 / $24.29	Professional	26	$13.80	$16.10	$24.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $24.24 / $35.09	Professional	TC	$14.70	$24.24	$35.09