Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $9.38 / $17.61	Facility	26	$7.75	$9.38	$17.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $28.00 / $33.65	Professional		$21.04	$28.00	$33.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.68 / $11.72	Professional	26	$7.03	$7.68	$11.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.12 / $60.12 / $60.12	Professional	50	$60.12	$60.12	$60.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.32 / $14.00 / $16.39	Professional	52	$13.32	$14.00	$16.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $20.32 / $27.20	Professional	TC	$18.21	$20.32	$27.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Professional		$21.09	$21.09	$21.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $5.73 / $8.18	Professional	26	$5.69	$5.73	$8.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $23.47 / $29.92	Professional	TC	$15.34	$23.47	$29.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $44.74 / $44.74	Professional		$44.74	$44.74	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $37.25 / $50.91	Professional		$19.96	$37.25	$50.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $11.09 / $14.40	Professional	26	$6.42	$11.09	$14.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.50 / $27.00 / $40.61	Professional	TC	$15.50	$27.00	$40.61
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $18.09 / $100.00	Facility	26	$18.09	$18.09	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $33.11 / $184.96	Professional		$25.92	$33.11	$184.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.91 / $67.13	Professional	26	$7.56	$9.91	$67.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $23.00 / $149.00	Professional	TC	$18.36	$23.00	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $28.51 / $45.62	Professional		$25.92	$28.51	$45.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $8.46 / $13.58	Professional	26	$7.56	$8.46	$13.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $20.21 / $32.77	Professional	TC	$18.36	$20.21	$32.77