Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $13.46 / $23.04	Facility	26	$12.24	$13.46	$23.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $60.53 / $70.90	Professional		$44.10	$60.53	$70.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.91 / $14.51 / $16.52	Professional	26	$9.91	$14.51	$16.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $45.50 / $55.51	Professional	TC	$34.19	$45.50	$55.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $11.91 / $23.70	Professional	26	$11.21	$11.91	$23.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $56.43 / $56.43 / $56.43	Professional	TC	$56.43	$56.43	$56.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $64.05 / $87.95	Professional		$14.70	$64.05	$87.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $24.37 / $24.37	Facility	26	$24.37	$24.37	$24.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $59.36 / $89.81	Professional		$47.28	$59.36	$89.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $15.17 / $23.08	Professional	26	$12.82	$15.17	$23.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $43.87 / $69.45	Professional	TC	$34.46	$43.87	$69.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $70.00 / $70.00	Facility	26	$35.32	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $69.25 / $453.03	Professional		$54.86	$69.25	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.11 / $17.43 / $95.54	Professional	26	$14.11	$17.43	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.09 / $49.37 / $357.49	Professional	TC	$39.09	$49.37	$357.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $66.31 / $117.19	Professional		$53.69	$66.31	$117.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $16.70 / $26.56	Professional	26	$14.09	$16.70	$26.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.09 / $48.89 / $77.95	Professional	TC	$39.09	$48.89	$77.95