Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $22.39 / $30.90	Facility	26	$15.14	$22.39	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $77.62	Professional		$33.11	$43.65	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $31.62	Professional	26	$10.96	$14.13	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $52.48	Professional	TC	$21.88	$30.20	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $31.62	Professional		$28.84	$28.84	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.22 / $23.99	Professional	26	$10.23	$11.22	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	TC	$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $85.11	Professional		$30.90	$52.48	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.38 / $30.90	Professional	26	$11.75	$17.38	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $58.88	Professional	TC	$21.88	$35.48	$58.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $100.00	Facility	26	$32.36	$32.36	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $281.84	Professional		$41.69	$52.48	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $100.00	Professional	26	$12.88	$17.38	$100.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $251.19	Professional	TC	$26.92	$34.67	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $69.18	Professional		$41.69	$43.65	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $23.99	Professional	26	$12.88	$15.14	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $28.84 / $45.71	Professional	TC	$26.92	$28.84	$45.71