Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.72 / $63.10	Facility	26	$7.08	$10.72	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $53.70	Professional		$20.89	$28.18	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $22.91	Professional	26	$7.08	$8.91	$22.91
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 $14.13 / $19.05 / $30.90	Professional	TC	$14.13	$19.05	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $6.76 / $14.79	Professional	26	$6.76	$6.76	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $26.30 / $36.31	Professional		$9.12	$26.30	$36.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $15.14	Facility	26	$9.33	$9.33	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $58.88	Professional		$24.55	$33.88	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.23 / $16.98	Professional	26	$8.13	$10.23	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.99 / $39.81	Professional	TC	$17.78	$23.99	$39.81
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 $27.54 / $36.31 / $213.80	Professional		$27.54	$36.31	$213.80
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $79.43	Professional	26	$8.51	$10.47	$79.43
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $204.17	Professional	TC	$19.05	$26.30	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $51.29	Professional		$26.92	$33.88	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.77 / $14.79	Professional	26	$8.32	$9.77	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $35.48	Professional	TC	$18.62	$22.91	$35.48