Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.42 / $14.47 / $21.51	Facility	26	$12.42	$14.47	$21.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $29.20 / $73.34	Professional		$22.94	$29.20	$73.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $11.60 / $14.56	Professional	26	$8.83	$11.60	$14.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.19 / $21.28 / $56.50	Professional	TC	$14.19	$21.28	$56.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $27.53 / $27.53	Professional		$27.53	$27.53	$27.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $6.98 / $9.66	Professional	26	$6.96	$6.98	$9.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Professional		$96.35	$96.35	$96.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $40.58 / $209.00	Professional		$19.17	$40.58	$209.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $13.56 / $17.80	Professional	26	$8.09	$13.56	$17.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.95 / $23.78 / $192.00	Professional	TC	$10.95	$23.78	$192.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.20 / $132.00 / $132.00	Facility	26	$58.20	$132.00	$132.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $10.91 / $53.18 / $53.18	Facility	53	$10.91	$53.18	$53.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $95.46 / $761.56	Professional		$24.36	$95.46	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $13.14 / $132.00	Professional	26	$9.72	$13.14	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.68 / $79.23 / $705.08	Professional	TC	$13.68	$79.23	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $39.88 / $147.51	Professional		$23.46	$39.88	$147.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $11.42 / $17.67	Professional	26	$9.72	$11.42	$17.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.35 / $19.21 / $100.03	Professional	TC	$13.35	$19.21	$100.03