Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.46 / $15.50 / $28.37	Facility	26	$12.46	$15.50	$28.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $44.58 / $53.97	Professional		$38.77	$44.58	$53.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $12.36 / $18.84	Professional	26	$11.21	$12.36	$18.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.54 / $45.02	Professional	TC	$27.55	$33.54	$45.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Professional		$39.94	$39.94	$39.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $9.66 / $14.40	Professional	26	$9.19	$9.66	$14.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $73.73	Professional		$73.73	$73.73	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $56.49 / $84.01	Professional		$31.43	$56.49	$84.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $17.98 / $23.74	Professional	26	$10.30	$17.98	$23.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $43.39 / $67.06	Professional	TC	$24.97	$43.39	$67.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $29.34 / $100.00	Facility	26	$29.34	$29.34	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $53.20 / $306.22	Professional		$42.26	$53.20	$306.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $16.25 / $95.76	Professional	26	$12.09	$16.25	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.17 / $36.71 / $250.00	Professional	TC	$30.17	$36.71	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $48.16 / $74.50	Professional		$42.26	$48.16	$74.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $15.08 / $22.37	Professional	26	$12.09	$15.08	$22.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.09 / $32.85 / $54.08	Professional	TC	$30.09	$32.85	$54.08