Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $11.02 / $14.14	Facility	26	$8.76	$11.02	$14.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $31.75 / $43.79	Professional		$29.32	$31.75	$43.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $8.42 / $12.49	Professional	26	$6.57	$8.42	$12.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.01 / $23.57 / $30.54	Professional	TC	$18.01	$23.57	$30.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.19 / $7.46 / $8.44	Professional	26	$5.19	$7.46	$8.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $63.86 / $63.86	Professional		$63.86	$63.86	$63.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $39.65 / $157.00	Professional		$24.74	$39.65	$157.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $10.88 / $33.00	Professional	26	$7.42	$10.88	$33.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $28.74 / $118.00	Professional	TC	$17.85	$28.74	$118.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $19.32 / $103.69	Facility	26	$19.32	$19.32	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $49.62 / $644.00	Professional		$27.07	$49.62	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.40 / $228.88	Professional	26	$7.58	$11.40	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $38.19 / $542.00	Professional	TC	$19.48	$38.19	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $39.65 / $64.58	Professional		$26.26	$39.65	$64.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $9.50 / $13.47	Professional	26	$7.50	$9.50	$13.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $27.44 / $50.27	Professional	TC	$18.91	$27.44	$50.27