Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.38 / $23.38 / $134.44	Facility	26	$19.38	$23.38	$134.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $37.69 / $50.29	Professional		$34.92	$37.69	$50.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $19.94 / $24.87	Professional	26	$19.14	$19.94	$24.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.78 / $17.45 / $24.08	Professional	TC	$15.78	$17.45	$24.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $53.68 / $68.78	Professional		$28.86	$53.68	$68.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.58 / $29.58 / $40.13	Professional	26	$29.58	$29.58	$40.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $43.75 / $60.08	Professional		$25.80	$43.75	$60.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.44 / $22.44 / $38.29	Facility	26	$22.44	$22.44	$38.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $42.03 / $81.63	Professional		$34.21	$42.03	$81.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $23.51 / $36.25	Professional	26	$19.88	$23.51	$36.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $18.85 / $34.60	Professional	TC	$14.33	$18.85	$34.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $105.96 / $105.96	Facility	26	$55.98	$105.96	$105.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $57.17 / $495.56	Professional		$41.45	$57.17	$495.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.29 / $27.53 / $151.44	Professional	26	$22.29	$27.53	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $29.61 / $367.63	Professional	TC	$18.71	$29.61	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $50.41 / $84.80	Professional		$40.49	$50.41	$84.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $26.69 / $38.34	Professional	26	$21.78	$26.69	$38.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $23.12 / $47.10	Professional	TC	$17.61	$23.12	$47.10