Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.97 / $42.24 / $42.24	Facility	26	$21.97	$42.24	$42.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $36.24 / $135.19	Professional		$31.44	$36.24	$135.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $23.64 / $60.32	Professional	26	$20.30	$23.64	$60.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.34 / $17.18 / $21.14	Professional	52	$15.34	$17.18	$21.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $11.97 / $21.76	Professional	TC	$10.55	$11.97	$21.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $33.34 / $45.85	Professional		$23.66	$33.34	$45.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $20.61 / $27.05	Professional	26	$18.85	$20.61	$27.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $31.35 / $36.04	Professional		$25.87	$31.35	$36.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $19.82 / $22.89	Professional	26	$16.35	$19.82	$22.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.52 / $11.54 / $13.12	Professional	TC	$9.52	$11.54	$13.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $40.15 / $68.44	Professional		$31.68	$40.15	$68.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $27.02 / $46.53	Professional	26	$21.07	$27.02	$46.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.36 / $13.36 / $23.22	Professional	TC	$10.36	$13.36	$23.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $51.77 / $98.42	Facility	26	$51.77	$51.77	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $38.59 / $209.51	Professional		$30.07	$38.59	$209.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $25.87 / $138.46	Professional	26	$20.14	$25.87	$138.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $9.90 / $12.47 / $71.05	Professional	TC	$9.90	$12.47	$71.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $34.97 / $63.05	Professional		$29.15	$34.97	$63.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $23.89 / $42.67	Professional	26	$19.94	$23.89	$42.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.63 / $11.52 / $20.39	Professional	TC	$9.63	$11.52	$20.39