Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $31.44 / $65.84	Professional		$26.61	$31.44	$65.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.73 / $24.33 / $56.67	Professional	26	$17.73	$24.33	$56.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.31 / $14.87 / $32.93	Professional	52	$13.31	$14.87	$32.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.77 / $4.76 / $29.78	Professional	TC	$3.77	$4.76	$29.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.48 / $26.48 / $29.94	Professional	26	$26.48	$26.48	$29.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $40.98 / $40.98	Professional		$40.98	$40.98	$40.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $41.86 / $102.00	Professional		$27.13	$41.86	$102.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $32.22 / $42.12	Professional	26	$19.47	$32.22	$42.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.37 / $6.08 / $62.00	Professional	TC	$3.37	$6.08	$62.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $57.67 / $57.67	Facility	26	$57.67	$57.67	$57.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $40.22 / $303.81	Professional		$25.77	$40.22	$303.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $25.98 / $156.38	Professional	26	$18.80	$25.98	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.69 / $6.12 / $211.93	Professional	TC	$3.69	$6.12	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $39.34 / $67.04	Professional		$25.77	$39.34	$67.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $25.67 / $40.49	Professional	26	$18.64	$25.67	$40.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.69 / $5.49 / $47.66	Professional	TC	$3.69	$5.49	$47.66