Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.31 / $38.79 / $41.33	Facility	26	$26.31	$38.79	$41.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $57.84 / $79.47	Professional		$55.53	$57.84	$79.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.91 / $26.64 / $38.47	Professional	26	$24.91	$26.64	$38.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $32.58 / $40.04	Professional	TC	$29.23	$32.58	$40.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.61 / $59.61	Professional		$59.61	$59.61	$59.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.50 / $26.38 / $52.25	Professional	26	$23.50	$26.38	$52.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $58.10 / $79.78	Professional		$27.65	$58.10	$79.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $75.75 / $103.23	Professional		$60.31	$75.75	$103.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $37.21 / $48.37	Professional	26	$28.09	$37.21	$48.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $37.42 / $51.88	Professional	TC	$30.23	$37.42	$51.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $122.62 / $122.62	Facility	26	$64.69	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $69.31 / $717.26	Professional		$50.74	$69.31	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $32.15 / $330.63	Professional	26	$24.24	$32.15	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $34.14 / $563.89	Professional	TC	$24.83	$34.14	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $62.40 / $98.24	Professional		$48.22	$62.40	$98.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.90 / $30.69 / $46.71	Professional	26	$23.90	$30.69	$46.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $32.59 / $50.60	Professional	TC	$24.83	$32.59	$50.60