Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.21 / $42.42 / $66.34	Facility	26	$37.21	$42.42	$66.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $59.44 / $66.29	Professional		$42.02	$59.44	$66.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $42.51 / $45.60	Professional	26	$29.98	$42.51	$45.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $17.57 / $19.94	Professional	TC	$12.04	$17.57	$19.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $50.76 / $50.76	Professional		$50.76	$50.76	$50.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.78 / $50.78 / $50.78	Professional	26	$50.78	$50.78	$50.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $61.60 / $84.59	Professional		$44.45	$61.60	$84.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $59.27 / $93.58	Professional		$53.03	$59.27	$93.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $42.36 / $67.23	Professional	26	$38.63	$42.36	$67.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $16.18 / $25.41	Professional	TC	$14.70	$16.18	$25.41
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $210.41 / $210.41	Facility	26	$107.57	$210.41	$210.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $76.36 / $404.61	Professional		$57.77	$76.36	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $51.63 / $402.86	Professional	26	$40.19	$51.63	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $21.99 / $402.86	Professional	TC	$16.25	$21.99	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $69.66 / $100.89	Professional		$53.47	$69.66	$100.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $49.20 / $60.05	Professional	26	$39.24	$49.20	$60.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $21.03 / $29.05	Professional	TC	$15.30	$21.03	$29.05