Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.60 / $22.62 / $42.99	Facility	26	$18.60	$22.62	$42.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $43.32 / $59.86	Professional		$31.50	$43.32	$59.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $18.60 / $39.04	Professional	26	$17.75	$18.60	$39.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $24.71 / $28.24	Professional	TC	$9.18	$24.71	$28.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $63.46 / $64.29	Professional		$63.46	$63.46	$64.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.46 / $30.27 / $41.28	Professional	26	$24.46	$30.27	$41.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.60 / $17.60 / $36.92	Professional	TC	$17.60	$17.60	$36.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $52.85 / $72.56	Professional		$23.10	$52.85	$72.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.24 / $31.24 / $31.24	Facility	26	$31.24	$31.24	$31.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $43.91 / $84.15	Professional		$27.13	$43.91	$84.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $22.86 / $44.41	Professional	26	$18.37	$22.86	$44.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.33 / $16.48 / $39.74	Professional	TC	$8.33	$16.48	$39.74
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $148.36 / $148.36	Facility	26	$77.38	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $58.38 / $359.16	Professional		$37.11	$58.38	$359.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $25.46 / $197.46	Professional	26	$21.17	$25.46	$197.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.08 / $29.88 / $214.27	Professional	TC	$11.08	$29.88	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $52.29 / $86.94	Professional		$36.54	$52.29	$86.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $24.90 / $47.41	Professional	26	$20.93	$24.90	$47.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.08 / $28.22 / $49.68	Professional	TC	$11.08	$28.22	$49.68