Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $33.11 / $33.11	Facility	26	$15.85	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $85.11	Professional		$42.66	$52.48	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $23.44	Professional	26	$10.96	$14.13	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $52.48	Professional	TC	$28.84	$38.02	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $100.00	Professional		$89.13	$89.13	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	26	$11.22	$11.22	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $104.71	Professional		$41.69	$67.61	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $31.62	Professional	26	$12.02	$19.05	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $50.12 / $89.13	Professional	TC	$31.62	$50.12	$89.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $70.79	Facility	26	$33.11	$33.11	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $323.59	Professional		$40.74	$64.57	$323.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $91.20	Professional	26	$11.48	$17.78	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $45.71 / $234.42	Professional	TC	$29.51	$45.71	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $91.20	Professional		$39.81	$56.23	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.85 / $25.70	Professional	26	$11.22	$15.85	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $39.81 / $66.07	Professional	TC	$28.84	$39.81	$66.07