Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.11 / $14.41 / $27.58	Facility	26	$13.11	$14.41	$27.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $41.37 / $48.64	Professional		$37.92	$41.37	$48.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.91 / $16.14	Professional	26	$9.75	$11.91	$16.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $29.35 / $40.53	Professional	TC	$28.17	$29.35	$40.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $11.66 / $13.99	Professional	26	$8.94	$11.66	$13.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $34.14 / $34.14	Professional	TC	$34.14	$34.14	$34.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $61.19 / $61.19	Professional		$61.19	$61.19	$61.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $54.73 / $75.20	Professional		$28.17	$54.73	$75.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $16.42 / $21.90	Professional	26	$9.32	$16.42	$21.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.00 / $40.92 / $58.65	Professional	TC	$23.00	$40.92	$58.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $28.48 / $100.00	Facility	26	$28.48	$28.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $47.81 / $271.52	Professional		$37.76	$47.81	$271.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.88 / $97.41	Professional	26	$9.82	$14.88	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $32.96 / $210.00	Professional	TC	$27.54	$32.96	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $41.54 / $69.94	Professional		$37.76	$41.54	$69.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $13.23 / $22.08	Professional	26	$9.82	$13.23	$22.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.00 / $30.00 / $47.86	Professional	TC	$27.00	$30.00	$47.86