Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $18.98 / $34.57	Facility	26	$17.71	$18.98	$34.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $51.48 / $60.46	Professional		$47.68	$51.48	$60.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.35 / $23.23	Professional	26	$13.58	$15.35	$23.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $36.13 / $46.95	Professional	TC	$34.09	$36.13	$46.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $86.27 / $86.27	Professional		$37.29	$86.27	$86.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $11.45 / $16.35	Professional	26	$11.37	$11.45	$16.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $68.12 / $93.60	Professional		$35.34	$68.12	$93.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $22.12 / $29.40	Professional	26	$12.79	$22.12	$29.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $51.66 / $72.23	Professional	TC	$26.63	$51.66	$72.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $36.20 / $100.00	Facility	26	$36.20	$36.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $61.28 / $338.57	Professional		$51.15	$61.28	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $19.68 / $117.24	Professional	26	$14.72	$19.68	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $41.88 / $291.00	Professional	TC	$34.61	$41.88	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $53.06 / $83.15	Professional		$50.33	$53.06	$83.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $17.80 / $27.72	Professional	26	$14.72	$17.80	$27.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.93 / $37.17 / $58.26	Professional	TC	$33.93	$37.17	$58.26