Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.20 / $14.59 / $20.23	Facility	26	$11.20	$14.59	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $40.92 / $44.26	Professional		$27.89	$40.92	$44.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $12.42 / $13.93	Professional	26	$9.25	$12.42	$13.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $27.64 / $30.33	Professional	TC	$18.64	$27.64	$30.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $64.93	Professional		$64.93	$64.93	$64.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $10.25 / $17.29	Professional	26	$10.25	$10.25	$17.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $40.60 / $55.75	Professional		$13.65	$40.60	$55.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.09 / $12.09 / $19.93	Facility	26	$12.09	$12.09	$19.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $37.88 / $59.81	Professional		$32.69	$37.88	$59.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $13.33 / $20.05	Professional	26	$10.94	$13.33	$20.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $24.45 / $39.38	Professional	TC	$20.60	$24.45	$39.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.60 / $100.00 / $100.00	Facility	26	$32.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $48.93 / $282.23	Professional		$35.21	$48.93	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.16 / $100.72	Professional	26	$12.82	$15.16	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $29.56 / $254.00	Professional	TC	$22.81	$29.56	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $42.45 / $65.53	Professional		$32.97	$42.45	$65.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $14.41 / $24.40	Professional	26	$12.78	$14.41	$24.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $28.51 / $42.77	Professional	TC	$22.42	$28.51	$42.77