Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $17.47 / $24.38	Facility	26	$12.30	$17.47	$24.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $48.98 / $55.59	Professional		$33.25	$48.98	$55.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $14.81 / $15.82	Professional	26	$10.14	$14.81	$15.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.11 / $34.00 / $38.60	Professional	TC	$23.11	$34.00	$38.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Professional		$72.56	$72.56	$72.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $14.69 / $19.36	Professional	26	$11.47	$14.69	$19.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $48.30 / $66.31	Professional		$15.05	$48.30	$66.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.38 / $14.38 / $23.26	Facility	26	$14.38	$14.38	$23.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $46.36 / $75.08	Professional		$40.64	$46.36	$75.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $15.22 / $23.25	Professional	26	$12.92	$15.22	$23.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $30.69 / $50.97	Professional	TC	$26.63	$30.69	$50.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $59.77 / $338.57	Professional		$44.17	$59.77	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $16.77 / $117.24	Professional	26	$14.17	$16.77	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.30 / $37.52 / $291.00	Professional	TC	$28.30	$37.52	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $49.37 / $78.44	Professional		$41.58	$49.37	$78.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $15.77 / $25.46	Professional	26	$14.11	$15.77	$25.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.82 / $35.36 / $55.60	Professional	TC	$27.82	$35.36	$55.60