Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $29.63 / $40.08	Facility	26	$22.38	$29.63	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $49.43 / $96.97	Professional		$44.80	$49.43	$96.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $23.46 / $38.74	Professional	26	$22.11	$23.46	$38.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.40 / $24.24 / $29.55	Professional	52	$22.40	$24.24	$29.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.69 / $25.85 / $69.59	Professional	TC	$22.69	$25.85	$69.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $57.16 / $57.16	Professional		$57.16	$57.16	$57.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $20.28 / $34.22	Professional	26	$20.28	$20.28	$34.22
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $57.96 / $57.96 / $57.96	Professional	52	$57.96	$57.96	$57.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $62.65 / $86.03	Professional		$28.25	$62.65	$86.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $40.44	Facility	26	$25.10	$25.10	$40.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $71.45 / $107.83	Professional		$50.04	$71.45	$107.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.50 / $26.27 / $40.24	Professional	26	$21.50	$26.27	$40.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $45.07 / $68.78	Professional	TC	$25.71	$45.07	$68.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $122.62 / $122.62	Facility	26	$64.51	$122.62	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $92.55 / $447.95	Professional		$65.16	$92.55	$447.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $30.49 / $265.83	Professional	26	$25.75	$30.49	$265.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.27 / $64.19 / $398.99	Professional	TC	$44.27	$64.19	$398.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $88.73 / $120.72	Professional		$68.41	$88.73	$120.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.56 / $29.14 / $52.67	Professional	26	$24.56	$29.14	$52.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.02 / $57.84 / $83.15	Professional	TC	$44.02	$57.84	$83.15