Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.31 / $14.02 / $26.89	Facility	26	$13.31	$14.02	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $43.31 / $50.91	Professional		$40.39	$43.31	$50.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.35 / $14.03	Professional	26	$9.41	$11.35	$14.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $31.61 / $42.41	Professional	TC	$30.66	$31.61	$42.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $8.72 / $8.72	Professional	26	$8.72	$8.72	$8.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.92 / $31.92 / $31.92	Professional	TC	$31.92	$31.92	$31.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $75.73 / $75.73	Professional		$75.73	$75.73	$75.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $57.19 / $79.30	Professional		$29.81	$57.19	$79.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.51 / $21.32	Professional	26	$9.33	$15.51	$21.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $45.21 / $63.20	Professional	TC	$23.93	$45.21	$63.20
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $27.85 / $103.00	Facility	26	$27.85	$27.85	$103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $53.95 / $286.68	Professional		$43.43	$53.95	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $14.48 / $107.32	Professional	26	$10.19	$14.48	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $40.35 / $267.00	Professional	TC	$30.66	$40.35	$267.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $48.04 / $81.59	Professional		$42.68	$48.04	$81.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.87 / $21.07	Professional	26	$10.19	$12.87	$21.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $34.97 / $52.77	Professional	TC	$30.07	$34.97	$52.77