Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.74 / $16.30 / $24.38	Facility	26	$11.74	$16.30	$24.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $56.81 / $72.27	Professional		$39.19	$56.81	$72.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $14.01 / $17.26	Professional	26	$9.69	$14.01	$17.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $42.80 / $51.52	Professional	TC	$29.50	$42.80	$51.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $61.06 / $61.06	Professional		$59.40	$61.06	$61.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $18.48 / $26.39	Professional	26	$14.04	$18.48	$26.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $57.05 / $78.34	Professional		$14.35	$57.05	$78.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $26.72	Facility	26	$16.55	$16.55	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $59.05 / $91.53	Professional		$50.19	$59.05	$91.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $16.55 / $24.75	Professional	26	$12.78	$16.55	$24.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $42.60 / $66.77	Professional	TC	$36.61	$42.60	$66.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.43 / $126.00 / $126.00	Facility	26	$34.43	$126.00	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $72.81 / $399.42	Professional		$53.72	$72.81	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.93 / $151.90	Professional	26	$13.50	$17.93	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.04 / $51.92 / $307.58	Professional	TC	$38.04	$51.92	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $65.70 / $99.25	Professional		$51.23	$65.70	$99.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $17.44 / $25.00	Professional	26	$13.19	$17.44	$25.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.99 / $47.30 / $71.59	Professional	TC	$37.99	$47.30	$71.59