Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.95 / $20.52 / $33.76	Facility	26	$16.95	$20.52	$33.76
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.74 / $59.44 / $129.46	Facility	TC	$35.74	$59.44	$129.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $43.98 / $53.41	Professional		$37.95	$43.98	$53.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $14.70 / $17.67	Professional	26	$14.25	$14.70	$17.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.72 / $35.74	Professional	TC	$23.51	$29.72	$35.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $11.07 / $11.07	Professional	26	$11.07	$11.07	$11.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $57.77 / $81.25	Professional		$33.60	$57.77	$81.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $22.09 / $28.72	Professional	26	$12.81	$22.09	$28.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.88 / $37.24 / $60.59	Professional	TC	$20.88	$37.24	$60.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $34.97 / $70.00	Facility	26	$34.97	$34.97	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $65.76 / $65.76 / $140.77	Facility	TC	$65.76	$65.76	$140.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $51.35 / $297.38	Professional		$43.69	$51.35	$297.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.67 / $93.99	Professional	26	$16.55	$19.67	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $31.76 / $203.39	Professional	TC	$26.36	$31.76	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $48.26 / $73.11	Professional		$42.40	$48.26	$73.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $17.32 / $28.03	Professional	26	$16.39	$17.32	$28.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $29.00 / $49.08	Professional	TC	$25.64	$29.00	$49.08