Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.41 / $32.29 / $43.18	Facility	26	$23.41	$32.29	$43.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $49.21 / $58.31	Professional		$35.14	$49.21	$58.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $27.37 / $30.44	Professional	26	$19.60	$27.37	$30.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.95 / $24.95 / $30.60	Professional	52	$24.95	$24.95	$30.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.55 / $21.83 / $27.86	Professional	TC	$15.55	$21.83	$27.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $37.83 / $76.17	Professional		$37.83	$37.83	$76.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $26.54 / $65.55	Professional	26	$21.23	$26.54	$65.55
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $52.37 / $52.37 / $52.37	Professional	52	$52.37	$52.37	$52.37
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $26.98 / $34.94	Professional	TC	$26.98	$26.98	$34.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $51.45 / $70.65	Professional		$29.05	$51.45	$70.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.44 / $45.44 / $45.44	Facility	26	$45.44	$45.44	$45.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $50.62 / $77.40	Professional		$43.00	$50.62	$77.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $28.15 / $42.84	Professional	26	$23.80	$28.15	$42.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.03 / $21.46 / $34.54	Professional	TC	$19.03	$21.46	$34.54
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 $48.67 / $63.84 / $334.42	Professional		$48.67	$63.84	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $34.86 / $182.49	Professional	26	$26.08	$34.86	$182.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $27.92 / $151.88	Professional	TC	$21.47	$27.92	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $57.40 / $83.91	Professional		$47.55	$57.40	$83.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $33.72 / $52.43	Professional	26	$26.08	$33.72	$52.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.47 / $25.26 / $37.11	Professional	TC	$21.47	$25.26	$37.11