Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.84 / $23.60 / $32.72	Facility	26	$15.84	$23.60	$32.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $42.67 / $85.06	Professional		$35.77	$42.67	$85.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $15.84 / $32.72	Professional	26	$13.69	$15.84	$32.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $27.61 / $52.34	Professional	TC	$22.47	$27.61	$52.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $40.94 / $49.18	Professional		$33.25	$40.94	$49.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.10	Professional	26	$15.10	$15.10	$15.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $53.13 / $53.13	Professional		$53.13	$53.13	$53.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $49.20 / $75.26	Professional		$37.60	$49.20	$75.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $19.28 / $30.44	Professional	26	$14.25	$19.28	$30.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $30.95 / $46.43	Professional	TC	$23.51	$30.95	$46.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $33.53 / $100.00	Facility	26	$33.53	$33.53	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $50.89 / $348.00	Professional		$39.70	$50.89	$348.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.38 / $19.80 / $89.60	Professional	26	$15.38	$19.80	$89.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $31.09 / $198.00	Professional	TC	$24.22	$31.09	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $48.19 / $71.50	Professional		$38.54	$48.19	$71.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $18.75 / $31.02	Professional	26	$15.16	$18.75	$31.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $29.44 / $43.68	Professional	TC	$23.32	$29.44	$43.68