Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $13.18 / $19.95	Facility	26	$10.23	$13.18	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $144.54	Professional		$50.12	$63.10	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $20.89	Professional	26	$7.94	$8.91	$20.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $51.29 / $83.18	Professional	TC	$41.69	$51.29	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $109.65	Professional		$45.71	$57.54	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $12.30	Professional	26	$7.94	$9.55	$12.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $125.89	Professional		$52.48	$74.13	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.02 / $22.39	Professional	26	$8.51	$12.02	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $63.10 / $117.49	Professional	TC	$43.65	$63.10	$117.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $79.43	Facility	26	$20.42	$20.42	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $371.54	Professional		$54.95	$74.13	$371.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.30 / $54.95	Professional	26	$9.12	$12.30	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $61.66 / $316.23	Professional	TC	$45.71	$61.66	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $102.33	Professional		$54.95	$69.18	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $16.22	Professional	26	$8.91	$10.96	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $57.54 / $85.11	Professional	TC	$45.71	$57.54	$85.11