Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $15.49 / $23.99	Facility	26	$12.02	$15.49	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $66.07	Professional		$28.84	$41.69	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $25.70	Professional	26	$7.94	$13.80	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $47.86	Professional	TC	$21.88	$28.84	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $66.07	Professional		$33.88	$36.31	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $16.60	Professional	26	$7.94	$10.23	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $33.11	Professional	TC	$19.50	$26.30	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $75.86	Professional		$26.30	$44.67	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $21.38	Professional	26	$8.13	$13.18	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $56.23	Professional	TC	$20.89	$33.88	$56.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $100.00	Facility	26	$25.70	$25.70	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $251.19	Professional		$34.67	$44.67	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.49 / $97.72	Professional	26	$9.12	$13.49	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $181.97	Professional	TC	$25.12	$31.62	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $61.66	Professional		$34.67	$38.90	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $18.20	Professional	26	$9.12	$12.02	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $26.92 / $42.66	Professional	TC	$25.12	$26.92	$42.66