Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $26.92	Facility	26	$16.98	$16.98	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $295.12	Professional		$54.95	$66.07	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.20 / $43.65	Professional	26	$15.85	$18.20	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $74.13	Professional	TC	$37.15	$43.65	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $75.86	Professional		$48.98	$64.57	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.39 / $25.12	Professional	26	$15.85	$22.39	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $61.66 / $85.11	Professional		$18.20	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $91.20	Professional		$54.95	$75.86	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $30.20	Professional	26	$18.20	$24.55	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $50.12 / $64.57	Professional	TC	$36.31	$50.12	$64.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $81.28 / $81.28	Facility	26	$41.69	$81.28	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $416.87	Professional		$52.48	$70.79	$416.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $114.82	Professional	26	$15.85	$20.89	$114.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $46.77 / $302.00	Professional	TC	$37.15	$46.77	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $100.00	Professional		$51.29	$64.57	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $30.20	Professional	26	$15.14	$19.95	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $69.18	Professional	TC	$35.48	$44.67	$69.18