Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.61 / $15.06 / $26.89	Facility	26	$13.61	$15.06	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $41.07 / $49.78	Professional		$35.67	$41.07	$49.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.69 / $14.03	Professional	26	$10.60	$11.69	$14.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $29.72 / $35.74	Professional	TC	$25.05	$29.72	$35.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $34.60 / $34.60	Professional		$34.60	$34.60	$34.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.87 / $13.99	Professional	26	$8.94	$12.87	$13.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $70.29 / $70.29	Professional		$70.29	$70.29	$70.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $52.12 / $77.54	Professional		$29.03	$52.12	$77.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $17.20 / $22.50	Professional	26	$10.02	$17.20	$22.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $38.04 / $61.27	Professional	TC	$22.71	$38.04	$61.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $28.48 / $100.00	Facility	26	$28.48	$28.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $48.27 / $282.36	Professional		$37.82	$48.27	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $15.41 / $90.81	Professional	26	$11.71	$15.41	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.11 / $32.96 / $211.00	Professional	TC	$26.11	$32.96	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $42.82 / $68.72	Professional		$37.82	$42.82	$68.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.71 / $13.96 / $24.46	Professional	26	$11.71	$13.96	$24.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.11 / $29.96 / $47.94	Professional	TC	$26.11	$29.96	$47.94