Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.87 / $7.34 / $10.67	Facility	26	$5.87	$7.34	$10.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $25.55 / $41.63	Professional		$19.94	$25.55	$41.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $7.48 / $71.40	Professional	26	$5.87	$7.48	$71.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.08 / $16.60 / $24.82	Professional	TC	$14.08	$16.60	$24.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $7.87 / $7.87	Professional	26	$7.87	$7.87	$7.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $24.50 / $33.64	Professional		$7.15	$24.50	$33.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.11 / $10.11 / $11.66	Facility	26	$10.11	$10.11	$11.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $34.97 / $49.71	Professional		$25.32	$34.97	$49.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.60 / $9.96 / $12.12	Professional	26	$7.60	$9.96	$12.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $24.48 / $36.26	Professional	TC	$17.92	$24.48	$36.26
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $103.69 / $103.69	Facility	26	$19.32	$103.69	$103.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $34.14 / $644.00	Professional		$23.90	$34.14	$644.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $9.44 / $228.88	Professional	26	$6.59	$9.44	$228.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $29.62 / $542.00	Professional	TC	$16.96	$29.62	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $29.16 / $55.17	Professional		$23.01	$29.16	$55.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.33 / $12.96	Professional	26	$6.44	$8.33	$12.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.81 / $44.10	Professional	TC	$16.22	$20.81	$44.10