Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.71 / $30.76 / $49.67	Facility	26	$24.71	$30.76	$49.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $51.83 / $63.52	Professional		$44.40	$51.83	$63.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $29.15 / $37.82	Professional	26	$24.72	$29.15	$37.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $23.83 / $27.22	Professional	TC	$17.48	$23.83	$27.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $33.22 / $68.52	Professional		$32.11	$33.22	$68.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $30.34 / $30.34	Professional	26	$21.10	$30.34	$30.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.71 / $11.71 / $11.71	Professional	TC	$11.71	$11.71	$11.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $63.66 / $63.66	Professional		$63.66	$63.66	$63.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $50.00	Professional		$39.28	$39.28	$50.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $31.82	Professional	26	$25.29	$25.29	$31.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $18.18	Professional	TC	$13.99	$13.99	$18.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.88 / $53.88 / $141.63	Facility	26	$53.88	$53.88	$141.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $67.13 / $334.42	Professional		$55.65	$67.13	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $37.11 / $182.49	Professional	26	$30.68	$37.11	$182.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $30.06 / $151.88	Professional	TC	$24.71	$30.06	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $65.47 / $94.21	Professional		$54.56	$65.47	$94.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.33 / $37.06 / $55.72	Professional	26	$30.33	$37.06	$55.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $29.85 / $47.84	Professional	TC	$24.23	$29.85	$47.84