Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $12.66 / $20.58	Facility	26	$10.30	$12.66	$20.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $31.53 / $40.81	Professional		$27.19	$31.53	$40.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $9.44 / $11.72	Professional	26	$8.73	$9.44	$11.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.60 / $14.02 / $16.44	Professional	52	$13.60	$14.02	$16.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.46 / $21.24 / $28.39	Professional	TC	$18.46	$21.24	$28.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $9.59 / $9.59	Professional	26	$8.73	$9.59	$9.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $42.20 / $58.84	Professional		$20.91	$42.20	$58.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $13.97 / $18.73	Professional	26	$9.01	$13.97	$18.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $30.39 / $42.92	Professional	TC	$20.01	$30.39	$42.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $21.10 / $100.00	Facility	26	$21.10	$21.10	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $43.10 / $216.00	Professional		$31.66	$43.10	$216.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $12.61 / $79.26	Professional	26	$9.74	$12.61	$79.26
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $29.94 / $205.00	Professional	TC	$21.75	$29.94	$205.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $38.11 / $60.80	Professional		$31.05	$38.11	$60.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $10.72 / $18.17	Professional	26	$9.72	$10.72	$18.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $25.75 / $39.86	Professional	TC	$21.33	$25.75	$39.86