Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $19.95 / $28.18	Facility	26	$12.88	$19.95	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $81.28	Professional		$36.31	$48.98	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $29.51	Professional	26	$10.00	$14.13	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $57.54	Professional	TC	$25.70	$36.31	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $42.66	Professional		$32.36	$33.88	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.55 / $14.45	Professional	26	$9.12	$9.55	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $91.20	Professional		$33.11	$54.95	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.22 / $28.18	Professional	26	$10.47	$16.22	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $67.61	Professional	TC	$25.12	$41.69	$67.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $100.00	Facility	26	$29.51	$29.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $309.03	Professional		$42.66	$54.95	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $95.50	Professional	26	$12.02	$16.60	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.02 / $251.19	Professional	TC	$29.51	$38.02	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $74.13	Professional		$42.66	$46.77	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.80 / $21.88	Professional	26	$12.02	$13.80	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $33.11 / $52.48	Professional	TC	$29.51	$33.11	$52.48