Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $28.18	Professional		$10.00	$13.80	$28.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $4.79 / $12.30	Professional	26	$2.24	$4.79	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $8.91 / $15.85	Professional	TC	$5.75	$8.91	$15.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $2.04 / $2.04	Professional	26	$2.04	$2.04	$2.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $14.13 / $19.05	Professional		$4.17	$14.13	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $21.88 / $29.51	Professional		$7.24	$21.88	$29.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $5.25 / $9.12	Professional	26	$2.04	$5.25	$9.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.90 / $10.23 / $20.42	Professional	TC	$4.90	$10.23	$20.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.05 / $33.88	Facility		$10.96	$19.05	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.39 / $123.03	Professional		$9.55	$22.39	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $6.31 / $87.10	Professional	26	$2.69	$6.31	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $16.60 / $97.72	Professional	TC	$6.76	$16.60	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $13.18	Facility		$5.25	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $31.62	Professional		$9.55	$15.85	$31.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.51 / $4.17 / $7.59	Professional	26	$2.51	$4.17	$7.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.22 / $21.88	Professional	TC	$6.76	$11.22	$21.88