Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $26.92 / $36.31	Facility	26	$18.20	$26.92	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $70.79	Professional		$30.20	$44.67	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $41.69	Professional	26	$12.88	$15.85	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.84 / $44.67	Professional	TC	$19.05	$28.84	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $81.28	Professional		$34.67	$35.48	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $19.95 / $28.18	Professional	26	$17.78	$19.95	$28.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $89.13	Professional		$32.36	$54.95	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $21.38 / $33.88	Professional	26	$13.80	$21.38	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $34.67 / $58.88	Professional	TC	$18.62	$34.67	$58.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $79.43	Facility	26	$38.02	$38.02	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $302.00	Professional		$43.65	$56.23	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $104.71	Professional	26	$14.79	$19.50	$104.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $194.98	Professional	TC	$25.70	$34.67	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $74.13	Professional		$42.66	$47.86	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.78 / $27.54	Professional	26	$14.79	$17.78	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $47.86	Professional	TC	$25.70	$33.11	$47.86