Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $19.50 / $20.89	Facility	26	$14.13	$19.50	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $131.83	Professional		$21.88	$28.84	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.00 / $22.91	Professional	26	$8.71	$10.00	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.98 / $120.23	Professional	TC	$12.88	$16.98	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $26.30	Professional		$18.20	$18.62	$26.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $7.41 / $14.79	Professional	26	$6.92	$7.41	$14.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $120.23	Professional		$19.50	$34.67	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $20.42	Professional	26	$7.94	$12.88	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $26.30 / $102.33	Professional	TC	$10.96	$26.30	$102.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $131.83	Facility	26	$57.54	$57.54	$131.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10.96 / $53.70 / $53.70	Facility	53	$10.96	$53.70	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $72.44 / $758.58	Professional		$22.91	$72.44	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.59 / $131.83	Professional	26	$9.77	$12.59	$131.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $34.67 / $707.95	Professional	TC	$12.88	$34.67	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $128.82	Professional		$23.44	$37.15	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $17.78	Professional	26	$9.77	$11.22	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $112.20	Professional	TC	$12.88	$19.95	$112.20