Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.92 / $25.60	Professional		$12.80	$15.92	$25.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $14.27 / $34.07	Professional	26	$8.83	$14.27	$34.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.28 / $5.69 / $12.94	Professional	TC	$5.28	$5.69	$12.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.19 / $9.91	Professional		$9.18	$9.19	$9.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $5.60 / $5.86	Professional	26	$5.58	$5.60	$5.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $19.60 / $26.91	Professional		$11.90	$19.60	$26.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Facility		$38.50	$38.50	$38.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $15.97 / $33.21	Professional		$8.69	$15.97	$33.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $12.58 / $26.00	Professional	26	$5.67	$12.58	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.04 / $4.53 / $13.84	Professional	TC	$3.04	$4.53	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $25.43 / $29.64	Facility		$15.16	$25.43	$29.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $27.42 / $130.47	Professional		$12.58	$27.42	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $15.59 / $95.76	Professional	26	$7.78	$15.59	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $4.94 / $13.53 / $95.76	Professional	TC	$4.94	$13.53	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $13.52 / $35.17	Professional		$12.58	$13.52	$35.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $11.81 / $20.75	Professional	26	$6.82	$11.81	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.94 / $5.41 / $13.53	Professional	TC	$4.94	$5.41	$13.53