Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.05 / $15.22 / $27.22	Facility	26	$14.05	$15.22	$27.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $52.52 / $96.39	Professional		$40.52	$52.52	$96.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $14.19 / $27.22	Professional	26	$11.24	$14.19	$27.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $33.28 / $69.16	Professional	TC	$29.17	$33.28	$69.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $38.22 / $45.83	Professional		$38.22	$38.22	$45.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $10.54 / $12.57	Professional	26	$9.94	$10.54	$12.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Professional		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $57.99 / $84.68	Professional		$41.06	$57.99	$84.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $16.68 / $25.40	Professional	26	$11.99	$16.68	$25.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $41.19 / $61.27	Professional	TC	$28.91	$41.19	$61.27
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $27.92 / $80.00	Facility	26	$27.92	$27.92	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $57.72 / $277.95	Professional		$44.39	$57.72	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $16.89 / $74.58	Professional	26	$12.95	$16.89	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $40.67 / $203.39	Professional	TC	$31.76	$40.67	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $54.48 / $96.68	Professional		$43.06	$54.48	$96.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $15.86 / $24.48	Professional	26	$12.51	$15.86	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.46 / $38.65 / $61.93	Professional	TC	$30.46	$38.65	$61.93