Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.60 / $29.44 / $54.47	Facility	26	$23.60	$29.44	$54.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $44.04 / $60.55	Professional		$41.75	$44.04	$60.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $23.39 / $32.13	Professional	26	$21.37	$23.39	$32.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.02 / $20.64 / $26.47	Professional	TC	$20.02	$20.64	$26.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $45.97 / $68.23	Professional		$31.97	$45.97	$68.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.53 / $25.21 / $33.47	Professional	26	$17.53	$25.21	$33.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $18.20 / $27.97	Professional	TC	$15.88	$18.20	$27.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $98.38	Professional		$98.38	$98.38	$98.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $57.85 / $137.00	Professional		$35.70	$57.85	$137.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $31.38 / $43.77	Professional	26	$20.00	$31.38	$43.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $26.41 / $94.00	Professional	TC	$17.07	$26.41	$94.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $105.96	Facility	26	$55.98	$55.98	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $70.45 / $495.56	Professional		$47.64	$70.45	$495.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.19 / $31.41 / $151.44	Professional	26	$24.19	$31.41	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.72 / $41.77 / $367.63	Professional	TC	$21.72	$41.77	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $58.54 / $104.14	Professional		$47.38	$58.54	$104.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $28.18 / $53.65	Professional	26	$24.34	$28.18	$53.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $26.82 / $70.16	Professional	TC	$21.36	$26.82	$70.16