Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $14.79 / $20.42	Facility	26	$10.00	$14.79	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $51.29	Professional		$23.99	$32.36	$51.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $17.78	Professional	26	$7.08	$9.33	$17.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $32.36	Professional	TC	$15.85	$21.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Professional		$19.95	$19.95	$26.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.94 / $8.71	Professional	26	$7.24	$7.94	$8.71
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $4.47 / $4.47 / $5.25	Professional	52	$4.47	$4.47	$5.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $70.79	Professional		$22.39	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.18 / $21.88	Professional	26	$7.76	$13.18	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $28.84 / $53.70	Professional	TC	$16.22	$28.84	$53.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $100.00	Facility	26	$20.89	$20.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $213.80	Professional		$30.90	$42.66	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $79.43	Professional	26	$9.33	$12.02	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $204.17	Professional	TC	$20.89	$29.51	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $53.70	Professional		$30.20	$35.48	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.72 / $16.60	Professional	26	$9.33	$10.72	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.70 / $37.15	Professional	TC	$20.89	$25.70	$37.15