Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $11.60 / $16.61	Facility	26	$8.71	$11.60	$16.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $38.83 / $52.17	Professional		$25.87	$38.83	$52.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.19 / $10.90	Professional	26	$7.23	$10.19	$10.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $28.63 / $37.64	Professional	TC	$18.64	$28.63	$37.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $22.44 / $22.44	Professional	TC	$22.44	$22.44	$22.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $37.45 / $51.42	Professional		$10.85	$37.45	$51.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.08 / $10.08 / $16.12	Facility	26	$10.08	$10.08	$16.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $39.82 / $61.03	Professional		$33.47	$39.82	$61.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $10.72 / $17.30	Professional	26	$9.46	$10.72	$17.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $28.76 / $43.89	Professional	TC	$23.99	$28.76	$43.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $100.00 / $100.00	Facility	26	$25.22	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $48.45 / $262.94	Professional		$34.85	$48.45	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $11.64 / $117.24	Professional	26	$10.05	$11.64	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $36.21 / $201.73	Professional	TC	$24.23	$36.21	$201.73
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.07 / $66.09	Professional		$34.04	$44.07	$66.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $10.98 / $18.55	Professional	26	$9.82	$10.98	$18.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.62 / $30.79 / $46.00	Professional	TC	$23.62	$30.79	$46.00