Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.72 / $7.88 / $10.85	Facility	26	$6.72	$7.88	$10.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.29 / $91.00 / $240.18	Facility	TC	$35.29	$91.00	$240.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $35.86 / $43.26	Professional		$24.47	$35.86	$43.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $7.57 / $23.12	Professional	26	$5.83	$7.57	$23.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.44 / $17.94 / $21.63	Professional	52	$16.44	$17.94	$21.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $29.41 / $49.64	Professional	TC	$22.57	$29.41	$49.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $62.64 / $62.64	Professional		$26.48	$62.64	$62.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.91 / $5.16 / $7.06	Professional	26	$4.91	$5.16	$7.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.63 / $36.04 / $36.04	Professional	TC	$30.63	$36.04	$36.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $47.01 / $47.01	Professional		$47.01	$47.01	$47.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $42.01 / $67.79	Professional		$24.00	$42.01	$67.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.60 / $9.64 / $12.50	Professional	26	$5.60	$9.64	$12.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $35.00 / $60.62	Professional	TC	$19.72	$35.00	$60.62
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $15.48 / $100.00	Facility	26	$15.48	$15.48	$100.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $143.82 / $479.81	Facility	TC	$67.18	$143.82	$479.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $39.70 / $241.48	Professional		$26.24	$39.70	$241.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $8.53 / $51.19	Professional	26	$6.06	$8.53	$51.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $31.76 / $199.06	Professional	TC	$20.18	$31.76	$199.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $35.86 / $59.17	Professional		$26.24	$35.86	$59.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.06 / $7.44 / $11.80	Professional	26	$6.06	$7.44	$11.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.18 / $28.53 / $53.49	Professional	TC	$20.18	$28.53	$53.49