Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $16.45 / $31.48	Facility	26	$15.93	$16.45	$31.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $42.41 / $50.69	Professional		$36.88	$42.41	$50.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.32 / $19.10	Professional	26	$11.50	$13.32	$19.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $29.35 / $39.36	Professional	TC	$25.37	$29.35	$39.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $72.22 / $72.22	Professional		$72.22	$72.22	$72.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $10.22 / $10.31	Professional	26	$10.22	$10.22	$10.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Professional		$67.98	$67.98	$67.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $55.23 / $78.25	Professional		$29.39	$55.23	$78.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $19.10 / $24.96	Professional	26	$11.11	$19.10	$24.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $39.38 / $58.65	Professional	TC	$21.51	$39.38	$58.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.60 / $32.60 / $100.00	Facility	26	$32.60	$32.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $51.92 / $282.23	Professional		$41.55	$51.92	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $17.45 / $100.72	Professional	26	$12.84	$17.45	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $35.07 / $254.00	Professional	TC	$27.73	$35.07	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $45.71 / $69.87	Professional		$41.49	$45.71	$69.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $15.99 / $25.77	Professional	26	$12.84	$15.99	$25.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $30.83 / $48.47	Professional	TC	$27.08	$30.83	$48.47