Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.87 / $31.51 / $120.84	Facility	26	$28.87	$31.51	$120.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $65.37 / $97.56	Professional		$42.82	$65.37	$97.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $24.06 / $36.17	Professional	26	$18.64	$24.06	$36.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $42.19 / $61.39	Professional	TC	$19.05	$42.19	$61.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.46 / $21.59 / $21.59	Professional	26	$17.46	$21.59	$21.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $72.84 / $72.84	Professional		$58.28	$72.84	$72.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $69.39 / $140.36	Professional		$41.42	$69.39	$140.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.37 / $31.16 / $51.12	Professional	26	$23.37	$31.16	$51.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $36.83 / $70.30	Professional	TC	$19.86	$36.83	$70.30
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $47.70 / $97.62	Facility	26	$47.70	$47.70	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $60.95 / $378.70	Professional		$47.65	$60.95	$378.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $29.89 / $130.11	Professional	26	$22.53	$29.89	$130.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.68 / $30.86 / $242.47	Professional	TC	$21.68	$30.86	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $56.07 / $90.90	Professional		$46.29	$56.07	$90.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $28.26 / $42.62	Professional	26	$22.33	$28.26	$42.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $30.01 / $51.41	Professional	TC	$21.18	$30.01	$51.41