Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $10.26 / $19.91	Facility	26	$8.76	$10.26	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.94 / $37.40	Professional		$25.85	$30.94	$37.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.56 / $11.40	Professional	26	$7.33	$8.56	$11.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $23.22 / $29.48	Professional	TC	$18.53	$23.22	$29.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $54.24 / $54.24	Professional		$23.46	$54.24	$54.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.44 / $6.44	Professional	26	$6.44	$6.44	$6.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $27.65 / $27.65	Professional	TC	$27.65	$27.65	$27.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $49.99	Professional		$49.99	$49.99	$49.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $37.82 / $58.00	Professional		$21.71	$37.82	$58.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.82 / $15.24	Professional	26	$7.05	$11.82	$15.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $27.53 / $46.43	Professional	TC	$16.42	$27.53	$46.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $20.47 / $100.00	Facility	26	$20.47	$20.47	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $34.54 / $208.77	Professional		$26.67	$34.54	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.76 / $82.56	Professional	26	$8.31	$10.76	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $25.01 / $153.47	Professional	TC	$18.36	$25.01	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $31.29 / $50.24	Professional		$26.67	$31.29	$50.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.84 / $16.34	Professional	26	$8.31	$9.84	$16.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $22.46 / $38.65	Professional	TC	$18.36	$22.46	$38.65