Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.37 / $23.37 / $42.11	Facility	26	$23.37	$23.37	$42.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $52.21 / $232.28	Professional		$37.94	$52.21	$232.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $26.31 / $68.67	Professional	26	$21.41	$26.31	$68.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.02 / $23.83 / $50.35	Professional	TC	$14.02	$23.83	$50.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $36.92 / $42.00	Professional		$28.99	$36.92	$42.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $34.78 / $64.89	Professional	26	$21.63	$34.78	$64.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $40.02 / $50.03	Professional		$35.02	$40.02	$50.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $21.88 / $28.72	Professional	26	$19.14	$21.88	$28.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $18.14 / $22.68	Professional	TC	$15.88	$18.14	$22.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.88 / $141.63 / $141.63	Facility	26	$53.88	$141.63	$141.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $65.87 / $334.42	Professional		$55.95	$65.87	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $35.85 / $182.49	Professional	26	$30.96	$35.85	$182.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $30.02 / $151.88	Professional	TC	$25.26	$30.02	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $61.54 / $101.39	Professional		$55.94	$61.54	$101.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $33.89 / $56.26	Professional	26	$30.68	$33.89	$56.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $27.96 / $46.15	Professional	TC	$25.20	$27.96	$46.15