Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.63 / $10.63 / $21.20	Facility	26	$10.63	$10.63	$21.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $50.07 / $59.36	Professional		$37.02	$50.07	$59.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.37 / $13.40	Professional	26	$8.78	$12.37	$13.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $36.67 / $46.11	Professional	TC	$28.22	$36.67	$46.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $60.38 / $60.38	Professional		$60.38	$60.38	$60.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $10.27 / $10.27	Professional	26	$10.27	$10.27	$10.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $53.90 / $74.01	Professional		$12.95	$53.90	$74.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.61 / $21.61 / $21.61	Facility	26	$21.61	$21.61	$21.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $49.20 / $77.47	Professional		$39.17	$49.20	$77.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $13.19 / $20.44	Professional	26	$11.40	$13.19	$20.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.63 / $35.84 / $59.41	Professional	TC	$28.63	$35.84	$59.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $70.00 / $70.00	Facility	26	$31.19	$70.00	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $57.35 / $379.94	Professional		$45.33	$57.35	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $15.54 / $83.23	Professional	26	$12.05	$15.54	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.94 / $40.46 / $296.70	Professional	TC	$31.94	$40.46	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $54.96 / $85.62	Professional		$44.54	$54.96	$85.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $14.51 / $22.52	Professional	26	$11.96	$14.51	$22.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.59 / $40.46 / $68.56	Professional	TC	$31.59	$40.46	$68.56