Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $64.37 / $100.99	Professional		$46.31	$64.37	$100.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.27 / $26.09 / $32.51	Professional	26	$19.27	$26.09	$32.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.70 / $30.78 / $43.85	Professional	52	$22.70	$30.78	$43.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.13 / $36.79 / $66.08	Professional	TC	$26.13	$36.79	$66.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $50.94 / $71.92	Professional		$44.95	$50.94	$71.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $25.28 / $30.34	Professional	26	$25.28	$25.28	$30.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $41.58 / $41.58	Professional	TC	$41.58	$41.58	$41.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $47.07 / $51.78	Facility		$47.07	$47.07	$51.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $60.63 / $69.84	Professional		$50.78	$60.63	$69.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $21.27 / $26.66	Professional	26	$21.27	$21.27	$26.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $39.39	Professional	TC	$29.51	$29.51	$39.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $68.45 / $108.50	Professional		$51.21	$68.45	$108.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $25.31 / $42.26	Professional	26	$21.49	$25.31	$42.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $40.99 / $71.83	Professional	TC	$29.72	$40.99	$71.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $63.85 / $107.90	Facility		$49.17	$63.85	$107.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.29 / $152.15 / $152.15	Facility	26	$61.29	$152.15	$152.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $72.98 / $396.63	Professional		$54.60	$72.98	$396.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $26.86 / $167.21	Professional	26	$22.40	$26.86	$167.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $45.61 / $257.11	Professional	TC	$30.67	$45.61	$257.11
United Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $66.33 / $100.21	Professional		$54.30	$66.33	$100.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $25.11 / $42.01	Professional	26	$22.36	$25.11	$42.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $40.68 / $61.91	Professional	TC	$30.67	$40.68	$61.91