Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $14.79 / $28.84	Facility	26	$12.88	$14.79	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $104.71	Professional		$43.65	$61.66	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $34.67	Professional	26	$10.96	$18.20	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $66.07	Professional	TC	$30.90	$41.69	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $58.88	Professional		$33.11	$38.90	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.23 / $16.98	Professional	26	$9.33	$10.23	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $35.48 / $47.86	Professional	TC	$27.54	$35.48	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $114.82	Professional		$37.15	$64.57	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.62 / $37.15	Professional	26	$10.72	$18.62	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $79.43	Professional	TC	$29.51	$47.86	$79.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $109.65	Facility	26	$30.20	$30.20	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $331.13	Professional		$47.86	$61.66	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $120.23	Professional	26	$13.18	$17.38	$120.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $42.66 / $295.12	Professional	TC	$33.88	$42.66	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $79.43	Professional		$46.77	$53.70	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.14 / $22.91	Professional	26	$12.59	$15.14	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $38.90 / $58.88	Professional	TC	$33.88	$38.90	$58.88