Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.38 / $29.48 / $29.48	Facility	26	$14.38	$29.48	$29.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.71 / $49.06	Professional		$35.09	$41.71	$49.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.36 / $18.69	Professional	26	$11.82	$12.36	$18.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $29.35 / $38.01	Professional	TC	$23.26	$29.35	$38.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $70.97 / $70.97	Professional		$70.97	$70.97	$70.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $9.21 / $9.21	Professional	26	$9.19	$9.21	$9.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $52.26 / $75.81	Professional		$31.13	$52.26	$75.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $17.98 / $23.80	Professional	26	$10.63	$17.98	$23.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $36.19 / $58.69	Professional	TC	$20.59	$36.19	$58.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $29.34 / $70.00	Facility	26	$29.34	$29.34	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $47.63 / $273.64	Professional		$40.36	$47.63	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.68 / $16.25 / $78.91	Professional	26	$13.68	$16.25	$78.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $31.36 / $194.73	Professional	TC	$26.00	$31.36	$194.73
United Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $42.22 / $71.77	Professional		$39.32	$42.22	$71.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $15.08 / $22.90	Professional	26	$13.64	$15.08	$22.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $28.17 / $48.46	Professional	TC	$26.00	$28.17	$48.46