Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $23.99 / $23.99	Facility	26	$10.72	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $125.89	Professional		$37.15	$50.12	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $34.67	Professional	26	$10.00	$14.13	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.11 / $61.66	Professional	TC	$26.30	$33.11	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $53.70	Professional		$33.88	$40.74	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.75 / $15.49	Professional	26	$10.23	$11.75	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $67.61	Professional		$30.90	$41.69	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $17.38	Professional	26	$7.94	$10.72	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $50.12	Professional	TC	$22.91	$30.20	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $89.13	Professional		$40.74	$52.48	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.79 / $25.12	Professional	26	$11.48	$14.79	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $37.15 / $64.57	Professional	TC	$28.84	$37.15	$64.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $79.43 / $79.43	Facility	26	$28.18	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $275.42	Professional		$38.90	$52.48	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $74.13	Professional	26	$10.96	$15.14	$74.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $204.17	Professional	TC	$28.18	$38.02	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $79.43	Professional		$38.02	$46.77	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.18 / $22.39	Professional	26	$10.72	$13.18	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $33.11 / $58.88	Professional	TC	$27.54	$33.11	$58.88