Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $29.81 / $61.75	Professional		$20.35	$29.81	$61.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $3.91 / $7.76	Professional	26	$2.57	$3.91	$7.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.40 / $10.86 / $15.84	Professional	52	$8.40	$10.86	$15.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $25.10 / $38.01	Professional	TC	$15.74	$25.10	$38.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $19.55 / $19.55	Professional		$18.46	$19.55	$19.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $109.83 / $180.94	Facility		$27.66	$109.83	$180.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.06 / $27.57	Professional		$19.30	$22.06	$27.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.50 / $2.86 / $3.57	Professional	26	$2.50	$2.86	$3.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $19.20 / $24.00	Professional	TC	$16.80	$19.20	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $37.17 / $57.08	Professional		$20.71	$37.17	$57.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.81 / $5.43 / $12.73	Professional	26	$2.81	$5.43	$12.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $29.78 / $46.46	Professional	TC	$17.82	$29.78	$46.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $31.01 / $68.66	Facility		$21.72	$31.01	$68.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $36.56 / $311.26	Professional		$20.46	$36.56	$311.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.06 / $6.07 / $129.00	Professional	26	$3.06	$6.07	$129.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $28.09 / $252.63	Professional	TC	$17.48	$28.09	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $29.23 / $49.34	Professional		$19.72	$29.23	$49.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $3.83 / $11.47	Professional	26	$2.88	$3.83	$11.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $24.33 / $40.95	Professional	TC	$17.14	$24.33	$40.95