Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.54 / $3.65 / $5.07	Facility	26	$2.54	$3.65	$5.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $23.58 / $40.92	Professional		$18.42	$23.58	$40.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.54 / $3.23 / $5.32	Professional	26	$2.54	$3.23	$5.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.22 / $10.69 / $14.21	Professional	52	$9.22	$10.69	$14.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $18.94 / $35.28	Professional	TC	$15.88	$18.94	$35.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Professional		$26.79	$26.79	$26.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $22.75 / $31.24	Professional		$3.22	$22.75	$31.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.76 / $4.76 / $5.65	Facility	26	$4.76	$4.76	$5.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $36.08 / $73.36	Professional		$24.44	$36.08	$73.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.30 / $4.43 / $5.86	Professional	26	$3.30	$4.43	$5.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $30.23 / $52.38	Professional	TC	$21.06	$30.23	$52.38
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 $21.98 / $34.35 / $724.06	Professional		$21.98	$34.35	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $4.37 / $289.41	Professional	26	$2.83	$4.37	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $34.84 / $660.75	Professional	TC	$19.14	$34.84	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $29.05 / $99.84	Professional		$21.47	$29.05	$99.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $3.74 / $5.85	Professional	26	$2.68	$3.74	$5.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.71 / $23.47 / $95.04	Professional	TC	$18.71	$23.47	$95.04