Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.41 / $12.41 / $23.92	Facility	26	$12.41	$12.41	$23.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $36.82 / $67.48	Professional		$29.69	$36.82	$67.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $13.66 / $23.92	Professional	26	$10.34	$13.66	$23.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $23.76 / $43.56	Professional	TC	$19.35	$23.76	$43.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Professional		$33.84	$33.84	$33.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $47.82 / $69.17	Professional		$28.72	$47.82	$69.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $18.32 / $28.69	Professional	26	$10.99	$18.32	$28.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $29.49 / $42.42	Professional	TC	$18.46	$29.49	$42.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $24.22 / $24.22 / $70.00	Facility	26	$24.22	$24.22	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $48.85 / $195.66	Professional		$37.89	$48.85	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $19.84 / $69.84	Professional	26	$14.44	$19.84	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $29.71 / $129.61	Professional	TC	$23.45	$29.71	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $45.95 / $69.30	Professional		$37.89	$45.95	$69.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $17.80 / $27.13	Professional	26	$14.44	$17.80	$27.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $28.14 / $50.22	Professional	TC	$23.45	$28.14	$50.22