Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.31 / $18.63 / $18.63	Facility	26	$9.31	$18.63	$18.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.18 / $39.36 / $90.29	Facility	TC	$26.18	$39.36	$90.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $27.78 / $33.54	Professional		$25.17	$27.78	$33.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.00 / $12.35	Professional	26	$7.50	$8.00	$12.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.32 / $24.03	Professional	TC	$17.67	$20.32	$24.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $5.92 / $8.51	Professional	26	$5.92	$5.92	$8.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $37.51 / $52.08	Professional		$22.88	$37.51	$52.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $11.58 / $15.00	Professional	26	$6.71	$11.58	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $26.54 / $41.27	Professional	TC	$15.67	$26.54	$41.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $18.72 / $70.00	Facility	26	$18.72	$18.72	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $45.82 / $98.42	Facility	TC	$45.82	$45.82	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $33.35 / $187.12	Professional		$28.63	$33.35	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.64 / $10.26 / $51.02	Professional	26	$8.64	$10.26	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.78 / $23.39 / $136.11	Professional	TC	$19.78	$23.39	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $29.59 / $50.30	Professional		$28.11	$29.59	$50.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $9.52 / $14.72	Professional	26	$8.58	$9.52	$14.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.78 / $20.81 / $33.47	Professional	TC	$19.78	$20.81	$33.47