Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.96 / $36.36 / $64.94	Facility	26	$28.96	$36.36	$64.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $53.00 / $78.58	Professional		$50.14	$53.00	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $32.77 / $46.99	Professional	26	$26.57	$32.77	$46.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.60 / $48.88 / $58.49	Professional	52	$28.60	$48.88	$58.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $23.57 / $33.11	Professional	TC	$22.13	$23.57	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $39.36 / $87.84	Professional		$37.97	$39.36	$87.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $21.69 / $30.34	Professional	26	$21.10	$21.69	$30.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $27.43 / $27.43	Professional	TC	$17.94	$27.43	$27.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $64.30 / $64.30	Professional		$64.30	$64.30	$64.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $74.26 / $96.77	Professional		$41.99	$74.26	$96.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.68 / $41.17 / $53.80	Professional	26	$23.68	$41.17	$53.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $33.99 / $42.96	Professional	TC	$20.57	$33.99	$42.96
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $67.28 / $128.65	Facility	26	$67.28	$67.28	$128.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $67.16 / $334.42	Professional		$55.65	$67.16	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $36.72 / $182.49	Professional	26	$30.68	$36.72	$182.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.94 / $30.05 / $151.88	Professional	TC	$24.94	$30.05	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $66.66 / $93.95	Professional		$54.56	$66.66	$93.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.33 / $36.61 / $52.16	Professional	26	$30.33	$36.61	$52.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $29.11 / $42.94	Professional	TC	$24.23	$29.11	$42.94