Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $20.58 / $20.99	Facility	26	$10.30	$20.58	$20.99
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.05 / $40.83 / $242.53	Facility	TC	$27.05	$40.83	$242.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.22 / $56.11	Professional		$26.78	$32.22	$56.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.00 / $21.25	Professional	26	$8.46	$9.00	$21.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $23.22 / $40.79	Professional	TC	$18.32	$23.22	$40.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $6.69 / $10.43	Professional	26	$6.67	$6.69	$10.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $42.64 / $42.64	Professional		$42.64	$42.64	$42.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $40.00 / $58.58	Professional		$23.72	$40.00	$58.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $13.00 / $16.87	Professional	26	$7.54	$13.00	$16.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $28.66 / $46.43	Professional	TC	$16.25	$28.66	$46.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $21.10 / $70.00	Facility	26	$21.10	$21.10	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $51.52 / $110.49	Facility	TC	$51.52	$51.52	$110.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $36.22 / $208.77	Professional		$30.70	$36.22	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $11.55 / $57.45	Professional	26	$9.72	$11.55	$57.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $24.72 / $151.32	Professional	TC	$20.52	$24.72	$151.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $35.20 / $54.60	Professional		$29.77	$35.20	$54.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $10.67 / $16.55	Professional	26	$9.61	$10.67	$16.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.52 / $22.38 / $37.15	Professional	TC	$20.52	$22.38	$37.15