Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.98 / $35.39 / $54.78	Facility	26	$30.98	$35.39	$54.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $67.41 / $272.00	Professional		$64.75	$67.41	$272.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.97 / $36.96 / $174.00	Professional	26	$29.97	$36.96	$174.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.42 / $34.18 / $70.33	Professional	TC	$29.42	$34.18	$70.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $86.88 / $86.88	Professional		$86.88	$86.88	$86.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $33.79 / $33.79	Professional	26	$33.79	$33.79	$33.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $73.50 / $103.32	Professional		$39.09	$73.50	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $88.47 / $126.38	Professional		$60.82	$88.47	$126.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $51.73 / $72.41	Professional	26	$36.54	$51.73	$72.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $38.65 / $60.00	Professional	TC	$21.24	$38.65	$60.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $174.72	Facility	26	$85.71	$85.71	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $76.03 / $210.45	Professional		$58.30	$76.03	$210.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $41.69 / $236.22	Professional	26	$32.96	$41.69	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $30.23 / $285.88	Professional	TC	$19.28	$30.23	$285.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $73.26 / $130.63	Professional		$54.95	$73.26	$130.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $41.44 / $63.61	Professional	26	$31.76	$41.44	$63.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $30.20 / $54.70	Professional	TC	$18.63	$30.20	$54.70