Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $13.56 / $24.48	Facility	26	$10.77	$13.56	$24.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $44.74 / $54.61	Professional		$38.52	$44.74	$54.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $10.68 / $13.56	Professional	26	$10.02	$10.68	$13.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $32.47 / $41.84	Professional	TC	$28.16	$32.47	$41.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $28.95 / $28.95	Professional		$28.95	$28.95	$28.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.36 / $11.42	Professional	26	$7.94	$10.36	$11.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Professional		$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $58.71 / $76.53	Professional		$29.28	$58.71	$76.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $15.58 / $20.00	Professional	26	$9.61	$15.58	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $43.71 / $58.04	Professional	TC	$24.05	$43.71	$58.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $25.22 / $100.00	Facility	26	$25.22	$25.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $53.10 / $262.94	Professional		$39.92	$53.10	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $13.69 / $117.24	Professional	26	$10.19	$13.69	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $39.86 / $201.73	Professional	TC	$28.17	$39.86	$201.73
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $46.99 / $74.84	Professional		$39.15	$46.99	$74.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $12.25 / $19.64	Professional	26	$10.19	$12.25	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $33.45 / $48.46	Professional	TC	$27.62	$33.45	$48.46