Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $15.14 / $28.84	Facility	26	$12.02	$15.14	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $41.69 / $74.13	Professional		$19.50	$41.69	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $29.51	Professional	26	$10.96	$15.85	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.90 / $52.48	Professional	TC	$21.88	$30.90	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $45.71	Professional		$25.70	$31.62	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $19.95	Professional	26	$9.55	$11.75	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $33.11	Professional	TC	$19.05	$22.39	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $83.18	Professional		$29.51	$51.29	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.98 / $28.84	Professional	26	$10.72	$16.98	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $34.67 / $57.54	Professional	TC	$21.38	$34.67	$57.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $100.00	Facility	26	$30.20	$30.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $269.15	Professional		$38.02	$48.98	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.60 / $93.33	Professional	26	$12.88	$16.60	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $229.09	Professional	TC	$25.70	$32.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $66.07	Professional		$38.90	$41.69	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $22.39	Professional	26	$12.88	$14.13	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $27.54 / $44.67	Professional	TC	$25.70	$27.54	$44.67