Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $11.48 / $18.62	Facility	26	$7.24	$11.48	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $79.43	Professional		$25.12	$33.11	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.51 / $19.95	Professional	26	$6.03	$8.51	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.12 / $38.90	Professional	TC	$18.20	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $27.54	Professional		$20.89	$21.88	$27.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.46 / $6.46	Professional	26	$6.17	$6.46	$6.46
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $64.57	Professional		$22.91	$38.02	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.72 / $18.20	Professional	26	$6.92	$10.72	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $29.51 / $50.12	Professional	TC	$16.98	$29.51	$50.12
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $19.50 / $100.00	Facility	26	$19.50	$19.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $208.93	Professional		$28.18	$38.02	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.72 / $83.18	Professional	26	$8.32	$10.72	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.92 / $158.49	Professional	TC	$20.42	$26.92	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $52.48	Professional		$28.18	$32.36	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.12 / $14.45	Professional	26	$8.32	$9.12	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $23.44 / $37.15	Professional	TC	$20.42	$23.44	$37.15