Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $26.41 / $48.22	Professional		$19.45	$26.41	$48.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $19.85 / $33.15	Professional	26	$14.59	$19.85	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.49 / $6.55 / $15.05	Professional	TC	$5.49	$6.55	$15.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $34.04	Professional		$13.73	$13.73	$34.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $9.85 / $9.85	Professional	26	$9.85	$9.85	$9.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $31.94 / $35.93	Professional		$19.96	$31.94	$35.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.14 / $22.62 / $25.45	Professional	26	$14.14	$22.62	$25.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.82 / $9.31 / $10.48	Professional	TC	$5.82	$9.31	$10.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $27.69 / $37.53	Professional		$14.54	$27.69	$37.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $20.63 / $29.06	Professional	26	$10.10	$20.63	$29.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.20 / $6.34 / $11.33	Professional	TC	$3.20	$6.34	$11.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.38 / $95.38 / $95.38	Facility	26	$95.38	$95.38	$95.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $29.31 / $180.45	Professional		$17.57	$29.31	$180.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $21.98 / $134.87	Professional	26	$12.58	$21.98	$134.87
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.11 / $6.84 / $45.58	Professional	TC	$4.11	$6.84	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $18.64 / $40.18	Professional		$17.57	$18.64	$40.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $13.94 / $28.81	Professional	26	$12.58	$13.94	$28.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.20 / $4.88 / $9.00	Professional	TC	$4.20	$4.88	$9.00