Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.47 / $33.76 / $35.75	Facility	26	$17.47	$33.76	$35.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $60.50 / $104.72	Professional		$51.49	$60.50	$104.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $15.01 / $22.96	Professional	26	$14.36	$15.01	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $45.48 / $61.10	Professional	TC	$37.11	$45.48	$61.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $101.94 / $101.94	Professional		$48.95	$101.94	$101.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $11.19 / $15.97	Professional	26	$11.11	$11.19	$15.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $80.87 / $80.87	Professional		$80.87	$80.87	$80.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $76.00 / $109.96	Professional		$45.46	$76.00	$109.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $21.62 / $28.77	Professional	26	$12.86	$21.62	$28.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.76 / $57.27 / $90.94	Professional	TC	$32.76	$57.27	$90.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $35.32 / $70.00	Facility	26	$35.32	$35.32	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $67.64 / $395.03	Professional		$57.93	$67.64	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.20 / $19.25 / $93.99	Professional	26	$16.20	$19.25	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.35 / $48.80 / $301.02	Professional	TC	$41.35	$48.80	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $64.59 / $101.85	Professional		$56.91	$64.59	$101.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $17.79 / $27.80	Professional	26	$16.04	$17.79	$27.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.95 / $45.48 / $74.23	Professional	TC	$38.95	$45.48	$74.23