Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $16.60 / $21.88	Facility	26	$8.13	$16.60	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $147.91	Professional		$25.12	$45.71	$147.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $46.77 / $70.79	Professional	25	$10.96	$46.77	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $34.67	Professional	26	$7.41	$10.96	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $58.88	Professional	TC	$16.98	$27.54	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $36.31	Professional		$20.42	$25.12	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.51 / $11.22	Professional	26	$6.92	$8.51	$11.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $45.71	Professional		$20.42	$28.18	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $13.18	Professional	26	$6.03	$8.13	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.50 / $31.62	Professional	TC	$14.45	$19.50	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $70.79	Professional		$27.54	$38.02	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $17.38	Professional	26	$7.76	$9.55	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $50.12	Professional	TC	$19.50	$28.18	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $100.00 / $100.00	Facility	26	$19.05	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $398.11	Professional		$30.20	$41.69	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.23 / $131.83	Professional	26	$7.41	$10.23	$131.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $134.90	Professional	TC	$22.91	$31.62	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $60.26	Professional		$28.84	$36.31	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.71 / $14.79	Professional	26	$7.24	$8.71	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $27.54 / $44.67	Professional	TC	$21.88	$27.54	$44.67