Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.49 / $5.88 / $12.17	Facility	26	$4.49	$5.88	$12.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $41.83 / $114.60	Professional		$23.20	$41.83	$114.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.84 / $4.38 / $15.44	Professional	26	$2.84	$4.38	$15.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.54 / $12.80 / $67.53	Professional	52	$10.54	$12.80	$67.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $34.18 / $90.00	Professional	TC	$18.23	$34.18	$90.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $27.95 / $30.10	Professional		$21.50	$27.95	$30.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.47 / $3.63 / $4.05	Professional	26	$2.47	$3.63	$4.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $24.61 / $32.83	Professional		$18.46	$24.61	$32.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.49 / $4.65 / $5.81	Professional	26	$3.49	$4.65	$5.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.97 / $19.96 / $24.95	Professional	TC	$14.97	$19.96	$24.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $41.87 / $96.21	Professional		$24.31	$41.87	$96.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $4.32 / $6.96	Professional	26	$3.17	$4.32	$6.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.16 / $36.83 / $91.52	Professional	TC	$21.16	$36.83	$91.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $101.15 / $101.15	Facility	26	$39.94	$101.15	$101.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $43.70 / $724.06	Professional		$23.10	$43.70	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.97 / $4.20 / $289.41	Professional	26	$2.97	$4.20	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $38.00 / $660.75	Professional	TC	$20.13	$38.00	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $35.04 / $85.28	Professional		$22.40	$35.04	$85.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $3.85 / $6.96	Professional	26	$2.88	$3.85	$6.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $31.71 / $75.23	Professional	TC	$19.80	$31.71	$75.23