Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $46.77 / $63.10	Facility	26	$14.79	$46.77	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $165.96	Professional		$33.88	$51.29	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $51.29	Professional	26	$10.96	$18.62	$51.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	52	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $72.44	Professional	TC	$21.88	$32.36	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $64.57	Professional		$35.48	$42.66	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.23 / $17.38	Professional	26	$9.77	$10.23	$17.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $93.33	Professional		$40.74	$51.29	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.79 / $26.92	Professional	26	$11.75	$14.79	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $36.31 / $67.61	Professional	TC	$29.51	$36.31	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $81.28	Professional		$33.88	$47.86	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $29.51	Professional	26	$10.96	$15.49	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $56.23	Professional	TC	$21.88	$31.62	$56.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $79.43 / $79.43	Facility	26	$30.20	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $288.40	Professional		$36.31	$44.67	$288.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.79 / $83.18	Professional	26	$12.59	$14.79	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $208.93	Professional	TC	$22.91	$30.90	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $63.10	Professional		$36.31	$44.67	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.13 / $21.38	Professional	26	$12.59	$14.13	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $42.66	Professional	TC	$22.39	$30.90	$42.66