Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $33.88 / $162.18	Facility	26	$19.05	$33.88	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $77.62	Professional		$28.84	$38.02	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $48.98	Professional	26	$18.20	$23.44	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.13 / $53.70	Professional	TC	$10.00	$14.13	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $23.44 / $30.20	Professional	26	$22.91	$23.44	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $53.70	Professional		$28.18	$39.81	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $117.49	Professional		$35.48	$67.61	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.12 / $44.67	Professional	26	$21.38	$25.12	$44.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $40.74 / $74.13	Professional	TC	$14.13	$40.74	$74.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $120.23 / $120.23	Facility	26	$56.23	$120.23	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $436.52	Professional		$38.90	$57.54	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $338.84	Professional	26	$20.42	$28.18	$338.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $338.84	Professional	TC	$19.05	$36.31	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $100.00	Professional		$38.90	$58.88	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $37.15	Professional	26	$20.42	$26.92	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $67.61	Professional	TC	$19.05	$30.90	$67.61