Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.24 / $11.02 / $33.47	Facility	26	$9.24	$11.02	$33.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.80 / $7.70 / $11.39	Professional	26	$5.80	$7.70	$11.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.47 / $23.21 / $34.15	Professional	TC	$17.47	$23.21	$34.15
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 / $56.09	Professional	26	$28.41	$34.22	$56.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.04 / $104.02 / $206.90	Professional	TC	$87.04	$104.02	$206.90
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 $393.12 / $393.12 / $393.12	Professional	TC	$393.12	$393.12	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $34.02 / $40.64	Professional	26	$23.61	$34.02	$40.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.08 / $108.12 / $139.60	Professional	TC	$74.08	$108.12	$139.60