Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $29.09 / $50.49	Professional		$22.33	$29.09	$50.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.29 / $22.74 / $27.13	Professional	26	$17.29	$22.74	$27.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.17 / $13.79 / $22.95	Professional	52	$11.17	$13.79	$22.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.46 / $31.75	Professional	TC	$2.70	$4.46	$31.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Professional		$28.80	$28.80	$28.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $23.11 / $28.97	Professional		$23.11	$23.11	$28.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $19.92 / $23.78	Professional	26	$19.92	$19.92	$23.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.19 / $3.19 / $3.81	Professional	TC	$3.19	$3.19	$3.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $33.40 / $66.43	Professional		$23.14	$33.40	$66.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $22.44 / $36.09	Professional	26	$16.23	$22.44	$36.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.04 / $4.51 / $47.37	Professional	TC	$3.04	$4.51	$47.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $112.04 / $112.04	Facility	26	$57.67	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $45.12 / $303.81	Professional		$25.04	$45.12	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $22.32 / $156.38	Professional	26	$15.00	$22.32	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $16.80 / $211.93	Professional	TC	$3.47	$16.80	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $33.35 / $61.60	Professional		$24.34	$33.35	$61.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $22.01 / $36.99	Professional	26	$14.63	$22.01	$36.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.96 / $5.95 / $42.48	Professional	TC	$2.96	$5.95	$42.48