Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.49 / $19.57 / $26.79	Facility	26	$11.49	$19.57	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $58.02 / $67.65	Professional		$39.19	$58.02	$67.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $13.88 / $16.71	Professional	26	$9.47	$13.88	$16.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $44.01 / $48.66	Professional	TC	$29.72	$44.01	$48.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $61.73 / $61.73	Professional		$54.59	$61.73	$61.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.72 / $29.13	Professional	26	$10.72	$10.72	$29.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $57.05 / $78.34	Professional		$14.00	$57.05	$78.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $26.72	Facility	26	$16.55	$16.55	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $56.63 / $94.85	Professional		$49.55	$56.63	$94.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $16.55 / $26.93	Professional	26	$12.73	$16.55	$26.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.70 / $39.54 / $68.13	Professional	TC	$33.70	$39.54	$68.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $126.00 / $126.00	Facility	26	$33.82	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $70.95 / $399.42	Professional		$51.23	$70.95	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.85 / $137.04	Professional	26	$13.50	$17.85	$137.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.79 / $47.75 / $356.00	Professional	TC	$35.79	$47.75	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $60.27 / $92.84	Professional		$48.51	$60.27	$92.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.41 / $24.84	Professional	26	$13.50	$17.41	$24.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $47.75 / $71.48	Professional	TC	$35.56	$47.75	$71.48