Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $5.45 / $5.45	Facility	26	$5.45	$5.45	$5.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $5.45 / $12.11	Professional	26	$5.01	$5.45	$12.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $15.95 / $33.04	Professional	TC	$15.72	$15.95	$33.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $30.81 / $30.81	Professional	26	$30.81	$30.81	$30.81
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 $73.45 / $98.92 / $124.89	Professional	TC	$73.45	$98.92	$124.89
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 $23.09 / $23.09 / $23.61	Professional	26	$23.09	$23.09	$23.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.37 / $73.37 / $74.08	Professional	TC	$73.37	$73.37	$74.08