Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $11.18 / $21.51	Facility	26	$9.43	$11.18	$21.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $32.90 / $38.61	Professional		$28.91	$32.90	$38.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.35 / $14.28	Professional	26	$8.51	$9.35	$14.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $23.55 / $30.90	Professional	TC	$20.39	$23.55	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $23.74	Professional		$23.74	$23.74	$23.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.98 / $10.01 / $10.01	Professional	26	$6.98	$10.01	$10.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $53.60	Professional		$53.60	$53.60	$53.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $42.20 / $59.82	Professional		$23.01	$42.20	$59.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $13.56 / $18.14	Professional	26	$8.09	$13.56	$18.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $31.64 / $47.05	Professional	TC	$17.36	$31.64	$47.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $22.21 / $100.00	Facility	26	$22.21	$22.21	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $41.25 / $217.42	Professional		$32.47	$41.25	$217.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $12.62 / $72.64	Professional	26	$9.82	$12.62	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $29.15 / $199.00	Professional	TC	$22.24	$29.15	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $36.52 / $53.12	Professional		$32.15	$36.52	$53.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.04 / $17.10	Professional	26	$9.82	$11.04	$17.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.81 / $25.00 / $37.97	Professional	TC	$21.81	$25.00	$37.97