Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.70 / $30.76 / $82.80	Facility	26	$12.70	$30.76	$82.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $38.49 / $70.81	Professional		$23.86	$38.49	$70.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $10.15 / $23.26	Professional	26	$7.62	$10.15	$23.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.61 / $14.40 / $20.93	Professional	52	$9.61	$14.40	$20.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.99 / $25.06 / $50.27	Professional	TC	$15.99	$25.06	$50.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $6.90 / $10.40	Professional	26	$6.90	$6.90	$10.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.12 / $31.40	Professional		$21.98	$25.12	$31.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $7.17 / $8.96	Professional	26	$6.27	$7.17	$8.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $17.95 / $22.44	Professional	TC	$15.71	$17.95	$22.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $40.81 / $69.95	Professional		$23.98	$40.81	$69.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.00 / $21.42	Professional	26	$7.65	$12.00	$21.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $28.53 / $52.65	Professional	TC	$16.32	$28.53	$52.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $37.84 / $216.00	Professional		$31.76	$37.84	$216.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.14 / $79.26	Professional	26	$9.27	$11.14	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $26.53 / $205.00	Professional	TC	$22.02	$26.53	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $35.52 / $59.76	Professional		$30.72	$35.52	$59.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $10.74 / $19.50	Professional	26	$9.15	$10.74	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $25.20 / $46.90	Professional	TC	$22.02	$25.20	$46.90