Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $34.43 / $35.75	Facility	26	$17.32	$34.43	$35.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $66.51 / $84.34	Professional		$53.46	$66.51	$84.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $15.01 / $23.29	Professional	26	$14.36	$15.01	$23.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $53.55 / $95.92	Professional	TC	$42.39	$53.55	$95.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $49.94 / $49.94	Professional		$49.94	$49.94	$49.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $15.64 / $15.97	Professional	26	$11.11	$15.64	$15.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.63 / $53.63 / $53.63	Professional	TC	$53.63	$53.63	$53.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $89.71 / $89.71	Professional		$89.71	$89.71	$89.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $83.47 / $124.59	Professional		$50.07	$83.47	$124.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $21.62 / $28.77	Professional	26	$12.86	$21.62	$28.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.40 / $65.39 / $107.06	Professional	TC	$37.40	$65.39	$107.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $35.32 / $70.00	Facility	26	$35.32	$35.32	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $76.95 / $453.03	Professional		$64.56	$76.95	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $19.68 / $95.54	Professional	26	$16.55	$19.68	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.20 / $57.17 / $357.49	Professional	TC	$47.20	$57.17	$357.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $75.19 / $128.52	Professional		$64.56	$75.19	$128.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $17.37 / $27.80	Professional	26	$16.32	$17.37	$27.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.20 / $51.97 / $86.35	Professional	TC	$47.20	$51.97	$86.35