Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.57 / $13.16 / $24.59	Facility	26	$11.57	$13.16	$24.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $38.43 / $46.85	Professional		$31.42	$38.43	$46.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.69 / $16.60	Professional	26	$8.22	$10.69	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $27.74 / $37.19	Professional	TC	$23.19	$27.74	$37.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $64.81 / $64.81	Professional		$28.03	$64.81	$64.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $7.98 / $11.45	Professional	26	$7.97	$7.98	$11.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $32.60 / $32.60	Professional	TC	$32.60	$32.60	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $54.43 / $54.43	Professional		$54.43	$54.43	$54.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $46.55 / $69.87	Professional		$26.17	$46.55	$69.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $14.08 / $19.50	Professional	26	$8.11	$14.08	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $35.84 / $55.46	Professional	TC	$20.45	$35.84	$55.46
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $25.47 / $100.00	Facility	26	$25.47	$25.47	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $44.36 / $252.05	Professional		$34.46	$44.36	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $13.10 / $97.41	Professional	26	$9.08	$13.10	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $30.74 / $183.85	Professional	TC	$25.38	$30.74	$183.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $38.51 / $61.79	Professional		$34.46	$38.51	$61.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $12.12 / $20.25	Professional	26	$9.08	$12.12	$20.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $27.88 / $44.38	Professional	TC	$25.37	$27.88	$44.38