Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.55 / $16.80 / $30.67	Facility	26	$15.55	$16.80	$30.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $46.90 / $55.18	Professional		$39.97	$46.90	$55.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $13.36 / $16.80	Professional	26	$12.10	$13.36	$16.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $32.54 / $39.15	Professional	TC	$27.87	$32.54	$39.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Professional	26	$9.96	$9.96	$9.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $78.30	Professional		$78.30	$78.30	$78.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $57.70 / $85.25	Professional		$31.92	$57.70	$85.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $19.47 / $25.00	Professional	26	$11.13	$19.47	$25.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $43.39 / $67.06	Professional	TC	$24.73	$43.39	$67.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $31.72 / $100.00	Facility	26	$31.72	$31.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $54.92 / $438.00	Professional		$43.76	$54.92	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $17.14 / $97.41	Professional	26	$13.22	$17.14	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.54 / $36.89 / $423.00	Professional	TC	$30.54	$36.89	$423.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $52.01 / $88.38	Professional		$43.76	$52.01	$88.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $14.70 / $24.46	Professional	26	$13.22	$14.70	$24.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $33.59 / $55.46	Professional	TC	$29.79	$33.59	$55.46