Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.36 / $15.57 / $15.57	Facility	26	$7.36	$15.57	$15.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $37.34 / $153.00	Professional		$25.45	$37.34	$153.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.15 / $47.07 / $47.07	Professional	25	$37.15	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.88 / $35.00	Professional	26	$7.58	$8.88	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $28.33 / $45.15	Professional	TC	$17.63	$28.33	$45.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $25.92 / $48.64	Professional		$18.14	$25.92	$48.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.01 / $10.74	Professional	26	$6.90	$9.01	$10.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $24.94 / $29.79	Professional		$20.57	$24.94	$29.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.30 / $8.49	Professional	26	$6.03	$7.30	$8.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.55 / $17.63 / $20.05	Professional	TC	$14.55	$17.63	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $37.17 / $70.50	Professional		$26.77	$37.17	$70.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.51 / $17.79	Professional	26	$7.53	$9.51	$17.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $27.74 / $53.36	Professional	TC	$18.60	$27.74	$53.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $38.00 / $400.00	Professional		$30.26	$38.00	$400.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $9.21 / $132.09	Professional	26	$7.35	$9.21	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.12 / $28.80 / $135.32	Professional	TC	$23.12	$28.80	$135.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.00 / $66.18	Professional		$29.00	$36.00	$66.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.20 / $8.64 / $15.65	Professional	26	$7.20	$8.64	$15.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $27.36 / $47.12	Professional	TC	$22.02	$27.36	$47.12