Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	TC	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $60.26	Professional		$15.85	$19.95	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $38.02	Professional	26	$8.91	$12.88	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $10.23	Professional	TC	$5.01	$7.08	$10.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.62 / $14.45	Professional	26	$5.37	$5.62	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.38 / $39.81	Professional		$10.47	$21.38	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $14.79 / $25.70	Professional	26	$6.31	$14.79	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $8.32 / $16.22	Professional	TC	$4.27	$8.32	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $30.90	Facility		$17.38	$23.99	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $131.83	Professional		$13.18	$26.92	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $16.98 / $95.50	Professional	26	$7.76	$16.98	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $11.48 / $95.50	Professional	TC	$5.37	$11.48	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.59 / $12.88	Facility		$5.25	$7.59	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $30.90	Professional		$13.18	$21.38	$30.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.88 / $18.20	Professional	26	$7.76	$12.88	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $8.71 / $12.59	Professional	TC	$5.37	$8.71	$12.59