Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.15 / $10.15 / $10.15	Facility	26	$10.15	$10.15	$10.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.15 / $14.85	Professional	26	$9.16	$10.15	$14.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.02 / $14.71 / $20.51	Professional	TC	$14.02	$14.71	$20.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Professional	26	$35.81	$35.81	$35.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.67 / $37.85 / $51.52	Professional	26	$22.67	$37.85	$51.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $53.20 / $72.40	Professional	TC	$31.85	$53.20	$72.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $45.73 / $58.70	Professional	26	$22.86	$45.73	$58.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.82 / $66.39 / $82.51	Professional	TC	$33.82	$66.39	$82.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $110.49 / $110.49	Facility	26	$57.75	$110.49	$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 $103.46 / $103.46 / $103.46	Professional	26	$103.46	$103.46	$103.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.53 / $169.53 / $169.53	Professional	TC	$169.53	$169.53	$169.53