Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.57 / $13.68 / $76.88	Facility	26	$10.57	$13.68	$76.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $38.74 / $45.71	Professional		$28.81	$38.74	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $12.65 / $13.51	Professional	26	$8.89	$12.65	$13.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.41 / $21.07 / $22.86	Professional	52	$14.41	$21.07	$22.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.92 / $25.65 / $32.34	Professional	TC	$19.92	$25.65	$32.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $23.09	Professional	26	$20.42	$20.42	$23.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $41.65 / $57.19	Professional		$13.60	$41.65	$57.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.38 / $12.38 / $18.23	Facility	26	$12.38	$12.38	$18.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $38.44 / $58.16	Professional		$30.79	$38.44	$58.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.13 / $21.21	Professional	26	$11.50	$13.13	$21.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $25.81 / $40.57	Professional	TC	$18.04	$25.81	$40.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.31 / $80.00 / $80.00	Facility	26	$30.31	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $45.14 / $290.45	Professional		$35.79	$45.14	$290.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $14.06 / $82.68	Professional	26	$12.24	$14.06	$82.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.04 / $29.14 / $207.72	Professional	TC	$21.04	$29.14	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $41.62 / $67.13	Professional		$33.15	$41.62	$67.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $13.42 / $22.56	Professional	26	$11.96	$13.42	$22.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $29.04 / $47.66	Professional	TC	$20.16	$29.04	$47.66