Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.80 / $14.90 / $28.85	Facility	26	$8.80	$14.90	$28.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $32.26 / $82.60	Professional		$23.87	$32.26	$82.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.87 / $19.89	Professional	26	$6.45	$7.87	$19.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.73 / $12.63 / $15.76	Professional	52	$9.73	$12.63	$15.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $21.27 / $43.19	Professional	TC	$16.39	$21.27	$43.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $24.71 / $33.54	Professional		$18.38	$24.71	$33.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $8.86 / $17.55	Professional	26	$5.85	$8.86	$17.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $21.84 / $21.84	Professional	TC	$21.84	$21.84	$21.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $24.66 / $31.27	Professional		$21.57	$24.66	$31.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $6.10 / $8.01	Professional	26	$5.34	$6.10	$8.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $18.55 / $23.19	Professional	TC	$16.23	$18.55	$23.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $33.33 / $55.19	Professional		$23.96	$33.33	$55.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $9.43 / $16.57	Professional	26	$6.52	$9.43	$16.57
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $35.13	Professional	50	$35.13	$35.13	$35.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.20 / $22.82 / $40.35	Professional	TC	$17.20	$22.82	$40.35
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 $25.90 / $29.02 / $184.96	Professional		$25.90	$29.02	$184.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.30 / $67.13	Professional	26	$7.44	$8.30	$67.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $21.10 / $149.00	Professional	TC	$18.03	$21.10	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.51 / $50.40	Professional		$25.20	$28.51	$50.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.30 / $14.44	Professional	26	$7.40	$8.30	$14.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $20.21 / $34.46	Professional	TC	$18.00	$20.21	$34.46