Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.05 / $8.86 / $49.33	Facility	26	$7.05	$8.86	$49.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $22.42 / $30.60	Professional		$15.16	$22.42	$30.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $8.34 / $8.86	Professional	26	$5.88	$8.34	$8.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.27 / $13.99 / $22.05	Professional	TC	$9.27	$13.99	$22.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $6.45 / $13.65	Professional	26	$6.45	$6.45	$13.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $22.05 / $30.28	Professional		$9.19	$22.05	$30.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $7.79 / $12.79	Facility	26	$7.79	$7.79	$12.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $26.40 / $43.94	Professional		$20.45	$26.40	$43.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.56 / $13.74	Professional	26	$7.63	$8.56	$13.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $16.79 / $30.19	Professional	TC	$12.70	$16.79	$30.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $100.00 / $100.00	Facility	26	$20.23	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $30.69 / $203.00	Professional		$24.11	$30.69	$203.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.16 / $9.46 / $84.21	Professional	26	$8.16	$9.46	$84.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.47 / $165.00	Professional	TC	$16.32	$20.47	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $28.81 / $42.78	Professional		$23.93	$28.81	$42.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $8.91 / $14.30	Professional	26	$8.00	$8.91	$14.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.95 / $19.32 / $29.16	Professional	TC	$15.95	$19.32	$29.16