Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.24 / $33.42 / $62.90	Facility	26	$31.24	$33.42	$62.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $68.01 / $123.82	Professional		$56.29	$68.01	$123.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $27.38 / $40.03	Professional	26	$25.26	$27.38	$40.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $34.29 / $88.51	Professional	TC	$29.17	$34.29	$88.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $101.07	Professional		$43.70	$43.70	$101.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $20.43 / $29.26	Professional	26	$20.35	$20.43	$29.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $23.35 / $37.95	Professional	TC	$23.35	$23.35	$37.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $87.69 / $164.00	Professional		$46.56	$87.69	$164.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.77 / $36.06 / $49.61	Professional	26	$22.77	$36.06	$49.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.35 / $43.82 / $116.00	Professional	TC	$23.35	$43.82	$116.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.91 / $124.11 / $124.11	Facility	26	$64.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $97.36 / $562.97	Professional		$59.91	$97.36	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $36.28 / $186.58	Professional	26	$27.95	$36.28	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.32 / $69.41 / $399.92	Professional	TC	$30.32	$69.41	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $80.52 / $119.19	Professional		$58.76	$80.52	$119.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $32.54 / $50.31	Professional	26	$27.95	$32.54	$50.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.10 / $45.45 / $78.79	Professional	TC	$29.10	$45.45	$78.79