Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $78.20 / $78.20 / $78.20	Facility	TC	$78.20	$78.20	$78.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.23 / $22.87	Professional		$17.45	$19.23	$22.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $11.68 / $18.73	Professional	26	$10.38	$11.68	$18.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $7.55 / $9.41	Professional	TC	$5.75	$7.55	$9.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.34	Professional		$9.18	$9.18	$9.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $7.28 / $14.51	Professional	26	$5.58	$7.28	$14.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $29.85 / $76.12	Professional		$29.85	$29.85	$76.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $22.12 / $40.11	Professional		$10.57	$22.12	$40.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $16.39 / $26.00	Professional	26	$6.39	$16.39	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.26 / $8.52 / $16.12	Professional	TC	$4.26	$8.52	$16.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $24.25 / $30.94	Facility		$17.45	$24.25	$30.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $28.57 / $130.47	Professional		$13.21	$28.57	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $17.80 / $95.76	Professional	26	$11.81	$17.80	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.41 / $11.52 / $95.76	Professional	TC	$5.41	$11.52	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $22.01 / $29.91	Professional		$13.21	$22.01	$29.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $12.99 / $18.19	Professional	26	$7.80	$12.99	$18.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.41 / $8.66 / $12.62	Professional	TC	$5.41	$8.66	$12.62