Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.58 / $55.15 / $107.83	Facility	26	$32.58	$55.15	$107.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $56.26 / $214.17	Professional		$46.43	$56.26	$214.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $29.50 / $80.78	Professional	26	$24.23	$29.50	$80.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.78 / $169.20 / $285.00	Professional	52	$47.78	$169.20	$285.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $25.32 / $61.80	Professional	TC	$19.80	$25.32	$61.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $45.89 / $237.00	Professional		$34.34	$45.89	$237.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.63 / $27.17 / $64.89	Professional	26	$21.63	$27.17	$64.89
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.58 / $10.42 / $51.88	Professional	52	$8.58	$10.42	$51.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $17.03 / $17.03	Professional	TC	$17.03	$17.03	$17.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $40.02 / $54.72	Professional		$35.02	$40.02	$54.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $21.88 / $29.68	Professional	26	$19.14	$21.88	$29.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $18.14 / $22.68	Professional	TC	$15.88	$18.14	$22.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $67.64 / $108.01	Professional		$44.34	$67.64	$108.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $35.94 / $58.76	Professional	26	$24.37	$35.94	$58.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.97 / $30.54 / $49.25	Professional	TC	$19.97	$30.54	$49.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $128.65 / $128.65	Facility	26	$67.28	$128.65	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $65.45 / $334.42	Professional		$55.94	$65.45	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $35.44 / $182.49	Professional	26	$31.29	$35.44	$182.49
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $38.06 / $156.49 / $157.94	Professional	52	$38.06	$156.49	$157.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $30.02 / $151.88	Professional	TC	$25.88	$30.02	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $61.99 / $113.05	Professional		$55.94	$61.99	$113.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $33.75 / $57.73	Professional	26	$30.60	$33.75	$57.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $27.96 / $46.15	Professional	TC	$25.62	$27.96	$46.15