Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.78 / $13.16 / $20.03	Facility	26	$10.78	$13.16	$20.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $38.43 / $49.54	Professional		$34.17	$38.43	$49.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.69 / $16.60	Professional	26	$9.41	$10.69	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $27.74 / $36.22	Professional	TC	$24.75	$27.74	$36.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $28.03 / $29.28	Professional		$28.03	$28.03	$29.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $8.17 / $11.45	Professional	26	$7.97	$8.17	$11.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $32.60 / $32.60	Professional	TC	$32.60	$32.60	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $59.30 / $59.30	Professional		$59.30	$59.30	$59.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $49.46 / $70.45	Professional		$26.39	$49.46	$70.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $15.22 / $19.50	Professional	26	$8.68	$15.22	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $38.22 / $55.46	Professional	TC	$20.69	$38.22	$55.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $25.47 / $100.00	Facility	26	$25.47	$25.47	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $46.78 / $252.05	Professional		$38.13	$46.78	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.89 / $92.47	Professional	26	$10.19	$13.89	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.48 / $32.96 / $226.00	Professional	TC	$26.48	$32.96	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $42.88 / $66.27	Professional		$37.74	$42.88	$66.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.41 / $21.62	Professional	26	$10.19	$12.41	$21.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $29.78 / $43.31	Professional	TC	$26.00	$29.78	$43.31