Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $27.66 / $41.22	Facility	26	$22.35	$27.66	$41.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $46.63 / $112.65	Professional		$44.52	$46.63	$112.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $22.97 / $34.60	Professional	26	$22.07	$22.97	$34.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $24.76 / $83.31	Professional	TC	$22.44	$24.76	$83.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $21.10 / $21.10	Professional	26	$21.10	$21.10	$21.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $36.00 / $36.00	Professional	TC	$36.00	$36.00	$36.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $55.30 / $75.93	Professional		$28.61	$55.30	$75.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.22 / $27.22 / $42.85	Facility	26	$27.22	$27.22	$42.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $79.02 / $101.68	Professional		$48.88	$79.02	$101.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.87 / $27.16 / $41.70	Professional	26	$22.87	$27.16	$41.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $41.83 / $72.93	Professional	TC	$24.52	$41.83	$72.93
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 $53.92 / $82.64 / $562.97	Professional		$53.92	$82.64	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $31.07 / $186.58	Professional	26	$25.74	$31.07	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $57.73 / $399.92	Professional	TC	$26.38	$57.73	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $65.90 / $113.09	Professional		$50.92	$65.90	$113.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $30.86 / $44.61	Professional	26	$25.15	$30.86	$44.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.77 / $33.35 / $78.79	Professional	TC	$25.77	$33.35	$78.79