Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.53 / $8.96 / $16.82	Facility	26	$8.53	$8.96	$16.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.14 / $31.75 / $153.00	Facility	TC	$16.14	$31.75	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $21.21 / $29.75	Professional		$20.12	$21.21	$29.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.34 / $11.11	Professional	26	$6.42	$7.34	$11.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.45 / $14.78 / $18.09	Professional	TC	$13.45	$14.78	$18.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.43 / $5.43 / $7.81	Professional	26	$5.43	$5.43	$7.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $30.91 / $40.00	Professional		$15.65	$30.91	$40.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.15 / $10.60 / $14.37	Professional	26	$6.15	$10.60	$14.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.19 / $20.64 / $27.73	Professional	TC	$12.19	$20.64	$27.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $17.23 / $100.00	Facility	26	$17.23	$17.23	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $30.15 / $30.15 / $100.00	Facility	TC	$30.15	$30.15	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $29.11 / $172.00	Professional		$21.63	$29.11	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $9.47 / $72.64	Professional	26	$7.18	$9.47	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $18.64 / $148.00	Professional	TC	$13.55	$18.64	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $23.91 / $37.22	Professional		$21.21	$23.91	$37.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.18 / $8.51 / $13.50	Professional	26	$7.18	$8.51	$13.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.29 / $16.45 / $24.09	Professional	TC	$13.29	$16.45	$24.09