Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.26 / $17.87 / $34.27	Facility	26	$10.26	$17.87	$34.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $47.45 / $75.20	Professional		$41.14	$47.45	$75.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $14.85 / $18.39	Professional	26	$7.33	$14.85	$18.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $30.30 / $63.35	Professional	TC	$26.28	$30.30	$63.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $15.80 / $15.80	Professional	26	$11.19	$15.80	$15.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $103.89 / $103.89	Professional		$103.89	$103.89	$103.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $67.78 / $142.00	Professional		$34.10	$67.78	$142.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $13.52 / $26.80	Professional	26	$7.74	$13.52	$26.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.29 / $53.00 / $120.00	Professional	TC	$26.29	$53.00	$120.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $34.79 / $100.00	Facility	26	$34.79	$34.79	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $79.95 / $475.98	Professional		$42.56	$79.95	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $17.47 / $211.35	Professional	26	$7.95	$17.47	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $68.87 / $429.40	Professional	TC	$26.39	$68.87	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $65.08 / $84.27	Professional		$41.73	$65.08	$84.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $15.88 / $25.41	Professional	26	$7.95	$15.88	$25.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $36.32 / $76.31	Professional	TC	$25.87	$36.32	$76.31