Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.90 / $13.90 / $25.98	Facility	26	$13.90	$13.90	$25.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $65.68 / $79.18	Professional		$49.91	$65.68	$79.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $16.09 / $17.30	Professional	26	$11.46	$16.09	$17.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $49.64 / $61.88	Professional	TC	$38.45	$49.64	$61.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $12.73 / $21.48	Professional	26	$12.73	$12.73	$21.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $72.45 / $99.48	Professional		$17.14	$72.45	$99.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.64 / $26.64 / $26.64	Facility	26	$26.64	$26.64	$26.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $68.48 / $102.16	Professional		$51.38	$68.48	$102.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.98 / $17.14 / $25.16	Professional	26	$13.98	$17.14	$25.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $51.33 / $79.05	Professional	TC	$38.09	$51.33	$79.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $40.36 / $77.22 / $77.22	Facility	26	$40.36	$77.22	$77.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $76.13 / $507.76	Professional		$63.81	$76.13	$507.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.96 / $18.95 / $109.02	Professional	26	$15.96	$18.95	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.74 / $57.94 / $398.67	Professional	TC	$45.74	$57.94	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $74.18 / $119.64	Professional		$58.35	$74.18	$119.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $17.82 / $30.13	Professional	26	$15.58	$17.82	$30.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.41 / $56.15 / $91.48	Professional	TC	$42.41	$56.15	$91.48