Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $28.18 / $29.51	Facility	26	$14.13	$28.18	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $97.72	Professional		$32.36	$41.69	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $30.20	Professional	26	$10.00	$14.13	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $46.77	Professional	TC	$21.88	$29.51	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $64.57	Professional		$22.91	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.77 / $16.98	Professional	26	$9.12	$9.77	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $83.18	Professional		$32.36	$50.12	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.22 / $28.84	Professional	26	$10.72	$16.22	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $60.26	Professional	TC	$21.88	$33.88	$60.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $70.79	Facility	26	$29.51	$29.51	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $275.42	Professional		$38.02	$47.86	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $79.43	Professional	26	$12.88	$15.85	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $194.98	Professional	TC	$25.12	$31.62	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $67.61	Professional		$38.02	$42.66	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.45 / $22.39	Professional	26	$12.88	$14.45	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.18 / $45.71	Professional	TC	$24.55	$28.18	$45.71