Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.19 / $5.83 / $5.90	Facility	26	$3.19	$5.83	$5.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.50 / $31.90	Professional		$13.84	$18.50	$31.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.66 / $3.46 / $6.06	Professional	26	$2.66	$3.46	$6.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.92 / $15.08 / $26.01	Professional	TC	$10.92	$15.08	$26.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $33.13 / $33.13	Professional		$33.13	$33.13	$33.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.30 / $46.47	Professional		$15.94	$27.30	$46.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.99 / $6.20 / $11.99	Professional	26	$2.99	$6.20	$11.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.11 / $21.56 / $35.77	Professional	TC	$13.11	$21.56	$35.77
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.94 / $5.94 / $100.00	Facility	26	$5.94	$5.94	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $30.10 / $161.00	Professional		$22.74	$30.10	$161.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $6.90 / $54.00	Professional	26	$4.69	$6.90	$54.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $23.37 / $129.00	Professional	TC	$18.05	$23.37	$129.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.95 / $40.81	Professional		$22.74	$27.95	$40.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.51 / $6.11 / $9.49	Professional	26	$4.51	$6.11	$9.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $21.66 / $32.27	Professional	TC	$17.73	$21.66	$32.27