Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.21 / $14.61 / $26.10	Facility	26	$13.21	$14.61	$26.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $51.68 / $63.48	Professional		$43.78	$51.68	$63.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $11.36 / $15.39	Professional	26	$10.61	$11.36	$15.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.15 / $39.11 / $47.09	Professional	TC	$33.15	$39.11	$47.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Professional		$41.72	$41.72	$41.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Professional	26	$8.46	$8.46	$8.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $82.22 / $82.22	Professional		$82.22	$82.22	$82.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $63.61 / $93.90	Professional		$35.00	$63.61	$93.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $16.51 / $22.48	Professional	26	$10.03	$16.51	$22.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.54 / $50.87 / $80.62	Professional	TC	$29.54	$50.87	$80.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $26.96 / $100.00	Facility	26	$26.96	$26.96	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $58.90 / $345.31	Professional		$45.52	$58.90	$345.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $14.98 / $142.00	Professional	26	$11.33	$14.98	$142.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $43.67 / $272.83	Professional	TC	$34.19	$43.67	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $52.08 / $84.21	Professional		$45.52	$52.08	$84.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $13.53 / $21.47	Professional	26	$11.33	$13.53	$21.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $39.22 / $65.01	Professional	TC	$34.19	$39.22	$65.01