Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $14.45 / $87.10	Facility	26	$10.00	$14.45	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $69.18	Professional		$32.36	$41.69	$69.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $33.88	Professional	26	$10.00	$12.88	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $45.71	Professional	TC	$21.38	$28.18	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $67.61	Professional		$30.20	$36.31	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $20.89	Professional	26	$10.00	$17.38	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $41.69 / $57.54	Professional		$12.88	$41.69	$57.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $18.20	Facility	26	$12.30	$12.30	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $67.61	Professional		$29.51	$38.90	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.80 / $21.88	Professional	26	$11.48	$13.80	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $41.69	Professional	TC	$18.20	$26.92	$41.69
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $79.43 / $79.43	Facility	26	$30.20	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $288.40	Professional		$35.48	$44.67	$288.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $83.18	Professional	26	$12.02	$14.13	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $208.93	Professional	TC	$21.88	$29.51	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $58.88	Professional		$33.88	$42.66	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.49 / $20.89	Professional	26	$12.02	$13.49	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $43.65	Professional	TC	$20.89	$28.84	$43.65