Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.89 / $20.68 / $28.94	Facility	26	$19.89	$20.68	$28.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $54.00 / $79.27	Professional		$28.39	$54.00	$79.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $17.23 / $25.80	Professional	26	$12.28	$17.23	$25.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $36.77 / $53.47	Professional	TC	$13.01	$36.77	$53.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Professional	26	$15.41	$15.41	$15.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $54.53 / $54.53	Professional		$43.62	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $54.70 / $89.97	Professional		$31.09	$54.70	$89.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $22.03 / $32.43	Professional	26	$16.72	$22.03	$32.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $30.29 / $61.27	Professional	TC	$14.12	$30.29	$61.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $33.90 / $80.00	Facility	26	$33.90	$33.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $44.87 / $306.10	Professional		$32.50	$44.87	$306.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $20.04 / $93.99	Professional	26	$15.88	$20.04	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.36 / $27.15 / $212.11	Professional	TC	$14.36	$27.15	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $44.29 / $73.00	Professional		$31.15	$44.29	$73.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $19.60 / $30.01	Professional	26	$15.86	$19.60	$30.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.79 / $26.52 / $49.02	Professional	TC	$13.79	$26.52	$49.02