Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.95 / $23.77 / $24.72	Facility	26	$20.95	$23.77	$24.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $50.01 / $186.00	Professional		$48.17	$50.01	$186.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $21.20 / $103.00	Professional	26	$20.27	$21.20	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $28.48 / $61.88	Professional	TC	$24.50	$28.48	$61.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $62.98 / $62.98	Professional		$62.98	$62.98	$62.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.73 / $27.73 / $27.73	Professional	26	$27.73	$27.73	$27.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $55.30 / $78.37	Professional		$26.30	$55.30	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $65.88 / $95.43	Professional		$43.23	$65.88	$95.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $35.25 / $49.40	Professional	26	$24.99	$35.25	$49.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $32.00 / $50.00	Professional	TC	$17.23	$32.00	$50.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $58.37 / $118.83	Facility	26	$58.37	$58.37	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $56.51 / $124.75	Professional		$42.24	$56.51	$124.75
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $28.42 / $160.04	Professional	26	$22.47	$28.42	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $25.01 / $238.14	Professional	TC	$15.50	$25.01	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $53.60 / $96.01	Professional		$39.89	$53.60	$96.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.73 / $27.07 / $43.46	Professional	26	$21.73	$27.07	$43.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $24.96 / $48.63	Professional	TC	$15.30	$24.96	$48.63