Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.06 / $9.06 / $9.06	Facility	26	$9.06	$9.06	$9.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.06 / $18.27	Professional	26	$8.44	$9.06	$18.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $12.34 / $25.24	Professional	TC	$12.30	$12.34	$25.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $22.82 / $27.38	Professional	26	$22.82	$22.82	$27.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $34.22 / $44.34	Professional	26	$23.68	$34.22	$44.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $46.22 / $58.12	Professional	TC	$34.32	$46.22	$58.12
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 $23.09 / $23.09 / $23.61	Professional	26	$23.09	$23.09	$23.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.15 / $34.15 / $34.61	Professional	TC	$34.15	$34.15	$34.61