Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.02 / $16.29 / $27.56	Facility	26	$15.02	$16.29	$27.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $54.86 / $65.63	Professional		$47.71	$54.86	$65.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $14.99 / $21.84	Professional	26	$12.63	$14.99	$21.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $39.03 / $52.41	Professional	TC	$34.09	$39.03	$52.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $40.13 / $46.16	Professional		$38.45	$40.13	$46.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $9.80 / $13.95	Professional	26	$9.68	$9.80	$13.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.71 / $46.71 / $46.71	Professional	TC	$46.71	$46.71	$46.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Professional		$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $65.08 / $95.17	Professional		$35.54	$65.08	$95.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.90 / $20.22 / $28.00	Professional	26	$12.90	$20.22	$28.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.49 / $50.28 / $78.04	Professional	TC	$26.49	$50.28	$78.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $30.85 / $110.00	Facility	26	$30.85	$30.85	$110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $60.83 / $343.08	Professional		$50.55	$60.83	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $18.30 / $113.92	Professional	26	$14.07	$18.30	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.01 / $42.78 / $259.85	Professional	TC	$36.01	$42.78	$259.85
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $54.21 / $87.13	Professional		$48.95	$54.21	$87.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $16.20 / $27.64	Professional	26	$14.05	$16.20	$27.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $37.18 / $59.49	Professional	TC	$35.32	$37.18	$59.49