Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.71 / $29.80 / $41.71	Facility	26	$28.71	$29.80	$41.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $62.63 / $92.78	Professional		$32.64	$62.63	$92.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $24.83 / $37.04	Professional	26	$18.94	$24.83	$37.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $38.32 / $55.73	Professional	TC	$10.75	$38.32	$55.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $43.40 / $43.40	Professional		$43.40	$43.40	$43.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.62 / $21.79 / $21.79	Professional	26	$17.62	$21.79	$21.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $66.48 / $66.48	Professional		$53.18	$66.48	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $64.00 / $105.22	Professional		$37.47	$64.00	$105.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $31.47 / $45.44	Professional	26	$23.74	$31.47	$45.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $31.12 / $63.85	Professional	TC	$12.35	$31.12	$63.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $48.04 / $92.34	Facility	26	$48.04	$48.04	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $52.83 / $355.02	Professional		$37.89	$52.83	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $28.43 / $132.09	Professional	26	$22.38	$28.43	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $27.92 / $222.93	Professional	TC	$12.36	$27.92	$222.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $52.68 / $81.56	Professional		$35.75	$52.68	$81.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $27.64 / $43.31	Professional	26	$22.14	$27.64	$43.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.67 / $27.28 / $46.65	Professional	TC	$11.67	$27.28	$46.65