Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.60 / $10.92 / $18.98	Facility	26	$9.60	$10.92	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.79 / $45.65	Professional		$30.51	$37.79	$45.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $8.90 / $12.34	Professional	26	$8.07	$8.90	$12.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $29.72 / $42.32	Professional	TC	$22.26	$29.72	$42.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $28.33 / $31.42	Professional		$28.33	$28.33	$31.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.08 / $8.84	Professional	26	$6.16	$8.08	$8.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $36.04 / $36.04	Professional	TC	$22.18	$36.04	$36.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $56.55 / $56.55	Professional		$56.55	$56.55	$56.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $43.86 / $70.81	Professional		$25.69	$43.86	$70.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $12.92 / $17.00	Professional	26	$7.50	$12.92	$17.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $34.27 / $61.27	Professional	TC	$19.94	$34.27	$61.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.35 / $19.35 / $100.00	Facility	26	$19.35	$19.35	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $43.27 / $260.95	Professional		$28.86	$43.27	$260.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $10.81 / $83.63	Professional	26	$8.31	$10.81	$83.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $33.35 / $207.72	Professional	TC	$20.55	$33.35	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $39.11 / $62.94	Professional		$28.86	$39.11	$62.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.92 / $16.97	Professional	26	$8.31	$9.92	$16.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $29.95 / $56.00	Professional	TC	$20.55	$29.95	$56.00