Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.51 / $13.62 / $28.16	Facility	26	$10.51	$13.62	$28.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.60 / $137.52	Professional		$25.23	$34.60	$137.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $10.61 / $38.60	Professional	26	$6.59	$10.61	$38.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.38 / $23.23 / $43.35	Professional	TC	$16.38	$23.23	$43.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $30.45 / $32.79	Professional		$21.08	$30.45	$32.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $6.71 / $9.39	Professional	26	$6.04	$6.71	$9.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $29.29 / $36.61	Professional		$21.97	$29.29	$36.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.89 / $11.11	Professional	26	$6.67	$8.89	$11.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $20.39 / $25.50	Professional	TC	$15.30	$20.39	$25.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.15 / $61.81	Professional		$26.10	$39.15	$61.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $9.27 / $16.03	Professional	26	$7.30	$9.27	$16.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.93 / $31.53 / $47.92	Professional	TC	$18.93	$31.53	$47.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $103.69 / $103.69	Facility	26	$19.32	$103.69	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $38.85 / $644.00	Professional		$24.18	$38.85	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.72 / $9.03 / $228.88	Professional	26	$6.72	$9.03	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $29.24 / $542.00	Professional	TC	$17.54	$29.24	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.97 / $57.95	Professional		$23.58	$32.97	$57.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $8.19 / $14.25	Professional	26	$6.51	$8.19	$14.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $24.63 / $42.97	Professional	TC	$16.73	$24.63	$42.97