Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.50 / $19.39 / $33.86	Facility	26	$17.50	$19.39	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $45.67 / $66.02	Professional		$39.29	$45.67	$66.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.03 / $22.81	Professional	26	$13.58	$15.03	$22.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $28.49 / $45.52	Professional	TC	$24.72	$28.49	$45.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $11.14 / $16.01	Professional	26	$11.14	$11.14	$16.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $69.83	Professional		$69.83	$69.83	$69.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $60.53 / $115.00	Professional		$29.57	$60.53	$115.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $21.57 / $28.80	Professional	26	$12.51	$21.57	$28.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $37.78 / $88.00	Professional	TC	$19.21	$37.78	$88.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $35.57 / $35.57 / $100.00	Facility	26	$35.57	$35.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $70.94 / $390.88	Professional		$40.78	$70.94	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $19.82 / $103.00	Professional	26	$15.50	$19.82	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $46.96 / $301.75	Professional	TC	$24.25	$46.96	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $56.14 / $78.03	Professional		$39.60	$56.14	$78.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.50 / $17.70 / $27.61	Professional	26	$15.50	$17.70	$27.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $33.36 / $55.44	Professional	TC	$23.78	$33.36	$55.44