Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $16.85 / $29.72	Facility	26	$14.79	$16.85	$29.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.64 / $51.53	Professional		$34.85	$42.64	$51.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $13.51 / $20.30	Professional	26	$12.59	$13.51	$20.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.94 / $21.98 / $25.77	Professional	52	$20.94	$21.98	$25.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $30.04 / $36.11	Professional	TC	$22.26	$30.04	$36.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Professional		$33.75	$33.75	$33.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $13.78 / $13.78	Professional	26	$12.62	$13.78	$13.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Professional		$63.01	$63.01	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $55.85 / $80.53	Professional		$30.17	$55.85	$80.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $19.14 / $25.64	Professional	26	$12.15	$19.14	$25.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.21 / $35.54 / $61.91	Professional	TC	$19.21	$35.54	$61.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.31 / $30.31 / $80.00	Facility	26	$30.31	$30.31	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $49.23 / $290.45	Professional		$40.09	$49.23	$290.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $15.83 / $82.68	Professional	26	$13.21	$15.83	$82.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $33.75 / $207.72	Professional	TC	$26.88	$33.75	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $44.63 / $71.59	Professional		$39.78	$44.63	$71.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $15.41 / $24.44	Professional	26	$13.21	$15.41	$24.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $30.68 / $54.06	Professional	TC	$25.19	$30.68	$54.06