Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $18.27 / $34.97	Facility	26	$14.96	$18.27	$34.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $12.47 / $18.89	Professional	26	$9.57	$12.47	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.41 / $17.95 / $26.09	Professional	TC	$13.41	$17.95	$26.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $26.15 / $29.56	Professional	26	$21.15	$26.15	$29.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $34.22 / $62.38	Professional	26	$28.41	$34.22	$62.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.52 / $48.44 / $79.33	Professional	TC	$40.52	$48.44	$79.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $57.75 / $110.49	Facility	26	$57.75	$57.75	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $149.40 / $149.40 / $149.40	Professional	26	$149.40	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $183.70 / $183.70	Professional	TC	$183.70	$183.70	$183.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $34.75 / $66.23	Professional	26	$23.61	$34.75	$66.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.61 / $50.33 / $57.80	Professional	TC	$34.61	$50.33	$57.80