Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.79 / $32.71 / $53.20	Facility	26	$27.79	$32.71	$53.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $41.81 / $106.27	Professional		$36.75	$41.81	$106.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $23.63 / $34.93	Professional	26	$22.86	$23.63	$34.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.59 / $15.17 / $71.34	Professional	TC	$13.59	$15.17	$71.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $25.56 / $37.72	Professional	26	$17.79	$25.56	$37.72
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.22 / $12.22 / $12.22	Professional	TC	$12.22	$12.22	$12.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Professional		$100.02	$100.02	$100.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $77.97 / $123.00	Professional		$52.43	$77.97	$123.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $35.69 / $45.00	Professional	26	$23.58	$35.69	$45.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $49.91 / $78.00	Professional	TC	$26.62	$49.91	$78.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $55.73 / $55.73	Facility	26	$55.73	$55.73	$55.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $96.05 / $441.00	Professional		$48.36	$96.05	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $33.53 / $338.48	Professional	26	$24.70	$33.53	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $60.15 / $338.48	Professional	TC	$23.82	$60.15	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $86.09 / $103.33	Professional		$48.01	$86.09	$103.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.22 / $32.14 / $47.98	Professional	26	$24.22	$32.14	$47.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $38.85 / $67.62	Professional	TC	$22.85	$38.85	$67.62