Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $16.22 / $89.13	Facility	26	$10.96	$16.22	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $66.07	Professional		$38.02	$48.98	$66.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $19.05	Professional	26	$10.96	$12.88	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $46.77	Professional	TC	$25.70	$34.67	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
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 $14.45 / $47.86 / $66.07	Professional		$14.45	$47.86	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $87.10	Professional		$40.74	$53.70	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.49 / $26.30	Professional	26	$11.48	$15.49	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.90 / $66.07	Professional	TC	$29.51	$38.90	$66.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $70.79 / $70.79	Facility	26	$33.11	$70.79	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $323.59	Professional		$43.65	$56.23	$323.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $91.20	Professional	26	$12.02	$15.14	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $234.42	Professional	TC	$30.20	$38.90	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $81.28	Professional		$42.66	$53.70	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $21.88	Professional	26	$12.02	$15.14	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $58.88	Professional	TC	$30.20	$38.90	$58.88