Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.66 / $13.56 / $22.99	Facility	26	$11.66	$13.56	$22.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $33.89 / $47.19	Professional		$28.66	$33.89	$47.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $10.02 / $15.39	Professional	26	$9.72	$10.02	$15.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $25.92 / $32.93	Professional	TC	$22.87	$25.92	$32.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $57.13 / $57.13	Professional		$24.70	$57.13	$57.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $7.65 / $10.71	Professional	26	$7.45	$7.65	$10.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $23.83 / $28.04	Professional	TC	$23.83	$23.83	$28.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $55.55 / $55.55	Professional		$55.55	$55.55	$55.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $47.36 / $61.61	Professional		$24.00	$47.36	$61.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.16 / $19.39	Professional	26	$9.33	$15.16	$19.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $33.34 / $47.72	Professional	TC	$18.39	$33.34	$47.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.72 / $23.72 / $100.00	Facility	26	$23.72	$23.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $42.96 / $223.92	Professional		$34.56	$42.96	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.52 / $92.47	Professional	26	$10.19	$13.52	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.95 / $29.97 / $211.00	Professional	TC	$22.95	$29.97	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $38.59 / $56.13	Professional		$33.89	$38.59	$56.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.31 / $19.21	Professional	26	$10.19	$12.31	$19.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $25.32 / $38.49	Professional	TC	$22.50	$25.32	$38.49