Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.49 / $31.51 / $35.68	Facility	26	$25.49	$31.51	$35.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $58.40 / $85.90	Professional		$40.15	$58.40	$85.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.82 / $23.04 / $31.86	Professional	26	$15.82	$23.04	$31.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.17 / $37.15 / $54.04	Professional	TC	$17.17	$37.15	$54.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $40.07 / $56.02	Professional		$40.07	$40.07	$56.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $15.11 / $18.69	Professional	26	$15.11	$15.11	$18.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $67.69 / $67.69	Professional		$54.15	$67.69	$67.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $63.21 / $137.07	Professional		$39.59	$63.21	$137.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $29.34 / $50.00	Professional	26	$22.11	$29.34	$50.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $32.56 / $61.91	Professional	TC	$17.07	$32.56	$61.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $41.24 / $98.31	Facility	26	$41.24	$41.24	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $54.34 / $351.65	Professional		$44.03	$54.34	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $29.30 / $131.37	Professional	26	$20.09	$29.30	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $27.12 / $214.27	Professional	TC	$19.55	$27.12	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $53.49 / $104.81	Professional		$43.82	$53.49	$104.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $26.30 / $39.70	Professional	26	$19.41	$26.30	$39.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.17 / $25.60 / $49.54	Professional	TC	$18.17	$25.60	$49.54