Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $10.35 / $19.91	Facility	26	$8.76	$10.35	$19.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.00 / $36.27	Professional		$24.92	$30.00	$36.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.68 / $12.63	Professional	26	$7.33	$8.68	$12.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.26 / $30.69	Professional	TC	$17.57	$22.26	$30.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $51.54 / $51.54	Professional		$51.54	$51.54	$51.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $6.47 / $9.26	Professional	26	$6.44	$6.47	$9.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $42.97 / $42.97	Professional		$42.97	$42.97	$42.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $37.82 / $55.66	Professional		$22.58	$37.82	$55.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $11.82 / $15.82	Professional	26	$7.05	$11.82	$15.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $26.69 / $44.47	Professional	TC	$15.50	$26.69	$44.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $63.44 / $63.44 / $100.00	Facility	26	$63.44	$63.44	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $34.61 / $202.27	Professional		$25.94	$34.61	$202.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.82 / $111.75	Professional	26	$8.31	$10.82	$111.75
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $23.82 / $146.99	Professional	TC	$17.63	$23.82	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $31.04 / $58.03	Professional		$25.94	$31.04	$58.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.55 / $15.95	Professional	26	$8.31	$9.55	$15.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.63 / $21.40 / $36.82	Professional	TC	$17.63	$21.40	$36.82