Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.37 / $39.04 / $96.99	Facility	26	$25.37	$39.04	$96.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $41.75 / $69.08	Professional		$26.35	$41.75	$69.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $31.74 / $39.76	Professional	26	$17.17	$31.74	$39.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.10 / $35.10 / $35.97	Professional	50	$35.10	$35.10	$35.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.76 / $9.99 / $24.72	Professional	TC	$8.76	$9.99	$24.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $46.45 / $103.00	Professional		$46.45	$46.45	$103.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $24.42 / $34.89	Professional	26	$24.28	$24.42	$34.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $36.04 / $36.04	Professional	TC	$36.04	$36.04	$36.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $61.29 / $61.29	Professional		$61.29	$61.29	$61.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $51.33 / $90.00	Professional		$32.10	$51.33	$90.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $31.02 / $46.00	Professional	26	$21.31	$31.02	$46.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.83 / $22.16 / $48.87	Professional	TC	$9.83	$22.16	$48.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $77.38 / $148.36	Facility	26	$77.38	$77.38	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $60.31 / $359.16	Professional		$33.32	$60.31	$359.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $28.81 / $197.46	Professional	26	$22.31	$28.81	$197.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $34.02 / $214.27	Professional	TC	$11.01	$34.02	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $58.10 / $92.16	Professional		$33.32	$58.10	$92.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.31 / $26.29 / $45.23	Professional	26	$22.31	$26.29	$45.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $32.49 / $51.98	Professional	TC	$11.01	$32.49	$51.98