Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.82 / $19.54 / $20.32	Facility	26	$14.82	$19.54	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $40.63 / $88.15	Professional		$40.14	$40.63	$88.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $15.00 / $91.00	Professional	26	$14.34	$15.00	$91.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.03 / $25.63 / $55.69	Professional	TC	$22.03	$25.63	$55.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $57.73	Professional		$57.73	$57.73	$57.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $16.27 / $16.27	Professional	26	$16.27	$16.27	$16.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $44.80 / $61.52	Professional		$18.94	$44.80	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $53.50 / $77.73	Professional		$37.18	$53.50	$77.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $25.85 / $39.59	Professional	26	$17.60	$25.85	$39.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $28.67 / $45.00	Professional	TC	$15.72	$28.67	$45.00
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 $35.22 / $46.23 / $100.12	Professional		$35.22	$46.23	$100.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $22.00 / $131.37	Professional	26	$16.26	$22.00	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $22.56 / $214.27	Professional	TC	$14.12	$22.56	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $44.03 / $78.94	Professional		$33.90	$44.03	$78.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $20.62 / $34.00	Professional	26	$15.88	$20.62	$34.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.97 / $22.56 / $40.59	Professional	TC	$13.97	$22.56	$40.59