Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.53 / $11.53 / $11.53	Facility	26	$11.53	$11.53	$11.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $39.61 / $49.31	Professional		$35.21	$39.61	$49.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $11.53 / $16.20	Professional	26	$11.06	$11.53	$16.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $28.27 / $33.26	Professional	TC	$23.67	$28.27	$33.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $37.22 / $51.90	Professional		$12.25	$37.22	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $52.25 / $69.20	Professional		$41.80	$52.25	$69.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $16.50 / $20.49	Professional	26	$12.37	$16.50	$20.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $35.36 / $47.31	Professional	TC	$28.57	$35.36	$47.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $80.00 / $80.00	Facility	26	$28.55	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $45.95 / $83.54	Professional		$34.45	$45.95	$83.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.75 / $76.73	Professional	26	$10.63	$13.75	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $30.51 / $175.19	Professional	TC	$22.81	$30.51	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $43.58 / $68.66	Professional		$33.20	$43.58	$68.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.39 / $13.64 / $20.70	Professional	26	$10.39	$13.64	$20.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $29.94 / $48.40	Professional	TC	$22.81	$29.94	$48.40