Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.38 / $11.84 / $16.42	Facility	26	$11.38	$11.84	$16.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $75.73 / $121.68	Professional		$72.53	$75.73	$121.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $11.55 / $15.24	Professional	26	$11.39	$11.55	$15.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $36.27 / $37.86 / $49.44	Professional	52	$36.27	$37.86	$49.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.14 / $64.50 / $108.84	Professional	TC	$61.14	$64.50	$108.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $71.37 / $85.64	Professional		$57.09	$71.37	$85.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $14.22 / $14.70	Professional	26	$13.07	$14.22	$14.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $78.05 / $107.17	Professional		$12.25	$78.05	$107.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.50 / $15.50 / $18.53	Facility	26	$15.50	$15.50	$18.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $108.84 / $145.77	Professional		$76.81	$108.84	$145.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $16.28 / $19.50	Professional	26	$12.22	$16.28	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.15 / $91.31 / $129.63	Professional	TC	$70.15	$91.31	$129.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $125.86 / $125.86	Facility	26	$27.12	$125.86	$125.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $118.16 / $768.54	Professional		$77.73	$118.16	$768.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $14.97 / $267.48	Professional	26	$11.30	$14.97	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.06 / $112.65 / $698.48	Professional	TC	$64.06	$112.65	$698.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $96.73 / $168.04	Professional		$73.63	$96.73	$168.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $13.62 / $23.29	Professional	26	$11.04	$13.62	$23.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.59 / $84.67 / $145.47	Professional	TC	$62.59	$84.67	$145.47