Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.04 / $27.16 / $35.06	Facility	26	$25.04	$27.16	$35.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $68.20 / $97.62	Professional		$47.33	$68.20	$97.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.04 / $21.56 / $31.36	Professional	26	$17.04	$21.56	$31.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $47.72 / $57.37	Professional	TC	$33.40	$47.72	$57.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $83.03	Professional		$35.90	$35.90	$83.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $18.72 / $21.16	Professional	26	$13.02	$18.72	$21.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $106.65 / $106.65	Professional		$106.65	$106.65	$106.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $79.56 / $204.00	Professional		$50.27	$79.56	$204.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $27.01 / $63.00	Professional	26	$18.20	$27.01	$63.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $52.40 / $133.00	Professional	TC	$32.65	$52.40	$133.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $41.47 / $128.36	Facility	26	$41.47	$41.47	$128.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $99.05 / $604.11	Professional		$54.50	$99.05	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $28.01 / $456.30	Professional	26	$18.77	$28.01	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $76.43 / $388.70	Professional	TC	$35.72	$76.43	$388.70
United Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $84.64 / $130.16	Professional		$54.50	$84.64	$130.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $26.37 / $34.21	Professional	26	$18.77	$26.37	$34.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $52.09 / $87.74	Professional	TC	$34.65	$52.09	$87.74