Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $18.77 / $34.57	Facility	26	$15.49	$18.77	$34.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $48.90 / $62.12	Professional		$43.64	$48.90	$62.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.35 / $26.31	Professional	26	$13.58	$15.35	$26.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $33.54 / $44.23	Professional	TC	$30.03	$33.54	$44.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Professional		$35.65	$35.65	$35.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $12.17 / $17.78	Professional	26	$11.37	$12.17	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $62.88 / $88.92	Professional		$36.75	$62.88	$88.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $22.04 / $28.80	Professional	26	$12.51	$22.04	$28.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $43.12 / $67.06	Professional	TC	$24.97	$43.12	$67.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $36.20 / $100.00	Facility	26	$36.20	$36.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $57.07 / $321.19	Professional		$46.36	$57.07	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $19.39 / $128.79	Professional	26	$15.09	$19.39	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $37.40 / $254.00	Professional	TC	$31.27	$37.40	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $49.65 / $83.44	Professional		$46.36	$49.65	$83.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $16.60 / $27.49	Professional	26	$15.09	$16.60	$27.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.27 / $32.94 / $55.83	Professional	TC	$31.27	$32.94	$55.83