Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.72 / $32.93 / $32.97	Facility	26	$16.72	$32.93	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $51.24 / $74.29	Professional		$48.97	$51.24	$74.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $14.36 / $17.25	Professional	26	$13.50	$14.36	$17.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $37.71 / $46.51	Professional	TC	$35.04	$37.71	$46.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $88.86 / $88.86	Professional		$88.86	$88.86	$88.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $110.84 / $110.84	Professional		$110.84	$110.84	$110.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $73.47 / $96.58	Professional		$42.69	$73.47	$96.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $20.53 / $27.54	Professional	26	$11.96	$20.53	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.78 / $54.00 / $69.13	Professional	TC	$32.78	$54.00	$69.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.46 / $33.46 / $70.00	Facility	26	$33.46	$33.46	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $67.22 / $325.58	Professional		$42.56	$67.22	$325.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $18.89 / $91.83	Professional	26	$11.84	$18.89	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $48.66 / $233.75	Professional	TC	$30.72	$48.66	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $59.54 / $101.94	Professional		$42.56	$59.54	$101.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $17.25 / $50.19	Professional	26	$11.84	$17.25	$50.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $39.93 / $72.09	Professional	TC	$30.72	$39.93	$72.09