Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $32.43 / $50.49	Facility	26	$22.61	$32.43	$50.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $38.54 / $75.76	Professional		$31.70	$38.54	$75.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.86 / $24.53 / $50.49	Professional	26	$20.86	$24.53	$50.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.34 / $17.42 / $37.88	Professional	52	$15.34	$17.42	$37.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.80 / $25.27	Professional	TC	$10.11	$12.80	$25.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $35.97 / $40.68	Professional		$28.47	$35.97	$40.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $23.31 / $25.34	Professional	26	$18.45	$23.31	$25.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $102.15 / $102.15	Professional		$102.15	$102.15	$102.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $44.56 / $69.59	Professional		$33.13	$44.56	$69.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $30.27 / $47.17	Professional	26	$22.02	$30.27	$47.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.92 / $15.00 / $22.57	Professional	TC	$10.92	$15.00	$22.57
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 $35.28 / $45.37 / $209.51	Professional		$35.28	$45.37	$209.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $30.96 / $138.46	Professional	26	$24.04	$30.96	$138.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.35 / $14.32 / $71.05	Professional	TC	$11.35	$14.32	$71.05
United Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $42.71 / $62.66	Professional		$34.29	$42.71	$62.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $29.03 / $45.45	Professional	26	$23.46	$29.03	$45.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.83 / $13.60 / $21.72	Professional	TC	$10.83	$13.60	$21.72