Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $52.59 / $102.92	Facility	26	$38.61	$52.59	$102.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $88.15 / $378.75	Professional		$59.06	$88.15	$378.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $28.70 / $144.00	Professional	26	$23.46	$28.70	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.20 / $39.68 / $444.97	Professional	52	$27.20	$39.68	$444.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.75 / $58.20 / $153.44	Professional	TC	$30.75	$58.20	$153.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $43.79 / $100.61	Professional		$41.40	$43.79	$100.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $25.91 / $48.04	Professional	26	$7.85	$25.91	$48.04
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.95 / $50.78 / $83.76	Professional	52	$10.95	$50.78	$83.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $22.74 / $22.74	Professional	TC	$22.74	$22.74	$22.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $49.36 / $61.70	Professional		$37.02	$49.36	$61.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.13 / $21.51 / $26.89	Professional	26	$16.13	$21.51	$26.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $27.85 / $34.81	Professional	TC	$20.89	$27.85	$34.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $92.22 / $149.96	Professional		$49.39	$92.22	$149.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $31.94 / $51.06	Professional	26	$23.25	$31.94	$51.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $58.73 / $99.79	Professional	TC	$25.53	$58.73	$99.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $122.62 / $122.62 / $122.62	Facility	26	$122.62	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $90.08 / $447.95	Professional		$70.01	$90.08	$447.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $29.59 / $265.83	Professional	26	$26.55	$29.59	$265.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.26 / $62.97 / $398.99	Professional	TC	$43.26	$62.97	$398.99
United Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $89.15 / $143.15	Professional		$71.01	$89.15	$143.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.54 / $29.29 / $46.20	Professional	26	$26.54	$29.29	$46.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.71 / $58.52 / $91.55	Professional	TC	$40.71	$58.52	$91.55