Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.22 / $19.48 / $39.39	Facility	26	$9.22	$19.48	$39.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $62.60 / $243.00	Professional		$37.40	$62.60	$243.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.78 / $13.72 / $58.00	Professional	26	$9.78	$13.72	$58.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.78 / $48.89 / $74.13	Professional	TC	$26.78	$48.89	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $37.00 / $46.99	Professional		$31.45	$37.00	$46.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $11.33 / $13.44	Professional	26	$8.69	$11.33	$13.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $23.48 / $26.03	Professional	TC	$23.48	$23.48	$26.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $35.61 / $42.45	Professional		$29.82	$35.61	$42.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $9.14 / $10.74	Professional	26	$7.54	$9.14	$10.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $26.46 / $30.10	Professional	TC	$21.83	$26.46	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $62.67 / $116.92	Professional		$38.49	$62.67	$116.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.93 / $27.27	Professional	26	$10.23	$14.93	$27.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $47.69 / $91.52	Professional	TC	$28.26	$47.69	$91.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $100.00 / $100.00	Facility	26	$23.82	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $64.26 / $632.00	Professional		$51.23	$64.26	$632.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $15.17 / $223.21	Professional	26	$11.47	$15.17	$223.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $49.40 / $259.02	Professional	TC	$39.72	$49.40	$259.02
United Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $60.27 / $106.64	Professional		$48.74	$60.27	$106.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $13.53 / $24.03	Professional	26	$11.10	$13.53	$24.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.70 / $46.85 / $81.59	Professional	TC	$37.70	$46.85	$81.59