Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.86 / $19.44 / $37.40	Facility	26	$18.86	$19.44	$37.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $44.63 / $54.07	Professional		$37.59	$44.63	$54.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $15.85 / $19.46	Professional	26	$14.08	$15.85	$19.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.79 / $34.61	Professional	TC	$23.51	$28.79	$34.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $17.39 / $17.39	Professional	26	$12.10	$17.39	$17.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $21.01 / $21.01	Professional	TC	$21.01	$21.01	$21.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $74.95 / $74.95	Professional		$74.95	$74.95	$74.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $58.77 / $83.68	Professional		$32.42	$58.77	$83.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $22.55 / $29.80	Professional	26	$13.82	$22.55	$29.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $36.04 / $58.65	Professional	TC	$18.62	$36.04	$58.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $38.32 / $80.00	Facility	26	$38.32	$38.32	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $55.87 / $301.08	Professional		$45.16	$55.87	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $19.47 / $104.20	Professional	26	$14.75	$19.47	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $36.04 / $196.89	Professional	TC	$27.43	$36.04	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $51.22 / $74.56	Professional		$44.23	$51.22	$74.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $17.80 / $28.29	Professional	26	$14.75	$17.80	$28.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.81 / $32.77 / $49.39	Professional	TC	$25.81	$32.77	$49.39