Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.43 / $26.55 / $40.01	Facility	26	$19.43	$26.55	$40.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $36.02 / $78.34	Professional		$26.94	$36.02	$78.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.54 / $22.34 / $27.42	Professional	26	$15.54	$22.34	$27.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.98 / $13.67 / $53.40	Professional	TC	$10.98	$13.67	$53.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Professional		$51.74	$51.74	$51.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $37.79 / $43.44	Professional	26	$26.30	$37.79	$43.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $39.54 / $54.31	Professional		$27.88	$39.54	$54.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $64.00 / $106.36	Professional		$35.47	$64.00	$106.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.17 / $24.76 / $39.14	Professional	26	$21.17	$24.76	$39.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.09 / $39.24 / $67.23	Professional	TC	$14.09	$39.24	$67.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $120.92 / $120.92	Facility	26	$55.73	$120.92	$120.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $60.85 / $441.00	Professional		$41.11	$60.85	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.86 / $29.45 / $338.48	Professional	26	$20.86	$29.45	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.77 / $40.71 / $338.48	Professional	TC	$19.77	$40.71	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $61.42 / $99.95	Professional		$38.69	$61.42	$99.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $28.22 / $36.81	Professional	26	$20.37	$28.22	$36.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.25 / $67.73	Professional	TC	$19.05	$30.25	$67.73