Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $39.81 / $43.65	Facility	26	$28.18	$39.81	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $120.23	Professional		$22.91	$38.90	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $33.88	Professional	26	$7.08	$11.22	$33.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $24.55 / $70.79	Professional	TC	$15.14	$24.55	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $51.29	Professional		$19.05	$25.70	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $13.49	Professional	26	$7.24	$10.47	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $50.12	Professional		$21.88	$27.54	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.76 / $14.45	Professional	26	$6.31	$7.76	$14.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.50 / $35.48	Professional	TC	$15.85	$19.50	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $69.18	Professional		$25.12	$40.74	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $20.89	Professional	26	$7.59	$11.75	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $28.18 / $51.29	Professional	TC	$16.22	$28.18	$51.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $100.00 / $100.00	Facility	26	$20.89	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $213.80	Professional		$30.20	$38.02	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.22 / $79.43	Professional	26	$9.12	$11.22	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.30 / $204.17	Professional	TC	$21.88	$26.30	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $53.70	Professional		$30.20	$36.31	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $15.85	Professional	26	$9.12	$10.47	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.12 / $38.90	Professional	TC	$20.89	$25.12	$38.90