Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.58 / $14.97 / $23.27	Facility	26	$10.58	$14.97	$23.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $57.62 / $85.66	Professional		$37.45	$57.62	$85.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $51.65 / $62.50 / $98.53	Professional	25	$51.65	$62.50	$98.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $13.49 / $23.27	Professional	26	$9.61	$13.49	$23.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.42 / $48.13 / $61.85	Professional	TC	$27.42	$48.13	$61.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $40.61 / $59.86	Professional		$31.60	$40.61	$59.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $10.74 / $14.34	Professional	26	$8.50	$10.74	$14.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $68.51 / $115.48	Professional		$41.39	$68.51	$115.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $16.05 / $37.00	Professional	26	$11.05	$16.05	$37.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $52.87 / $89.57	Professional	TC	$30.64	$52.87	$89.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $23.82 / $100.00	Facility	26	$23.82	$23.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.84 / $632.00	Professional		$60.27	$76.84	$632.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $18.64 / $223.21	Professional	26	$13.61	$18.64	$223.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.85 / $59.41 / $259.02	Professional	TC	$45.85	$59.41	$259.02
United Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $72.78 / $108.54	Professional		$57.48	$72.78	$108.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $17.44 / $25.21	Professional	26	$13.35	$17.44	$25.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.94 / $56.26 / $79.56	Professional	TC	$43.94	$56.26	$79.56