Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $41.69 / $41.69	Facility	26	$35.48	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $93.33	Professional		$33.11	$52.48	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $37.15	Professional	26	$19.05	$23.99	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $33.11 / $57.54	Professional	TC	$12.02	$33.11	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $56.23	Professional		$44.67	$44.67	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $22.39	Professional	26	$21.88	$21.88	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $147.91	Professional		$34.67	$63.10	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $67.61	Professional	26	$23.44	$29.51	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $28.84 / $104.71	Professional	TC	$10.23	$28.84	$104.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $93.33	Facility	26	$47.86	$47.86	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $354.81	Professional		$38.90	$53.70	$354.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $131.83	Professional	26	$22.39	$29.51	$131.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $28.18 / $223.87	Professional	TC	$12.59	$28.18	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $81.28	Professional		$37.15	$51.29	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $38.02	Professional	26	$21.88	$26.92	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $25.70 / $46.77	Professional	TC	$12.30	$25.70	$46.77