Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.86 / $20.86 / $30.73	Facility	26	$20.86	$20.86	$30.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $31.81 / $42.28	Professional		$27.34	$31.81	$42.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $21.29 / $27.68	Professional	26	$19.98	$21.29	$27.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $15.72 / $20.01	Professional	52	$15.15	$15.72	$20.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.07 / $11.47 / $12.99	Professional	TC	$9.07	$11.47	$12.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $36.93 / $64.69	Professional		$32.33	$36.93	$64.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $21.12 / $32.61	Professional	26	$18.85	$21.12	$32.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $31.85 / $43.73	Professional		$22.05	$31.85	$43.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $43.65 / $56.64	Professional		$33.79	$43.65	$56.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.18 / $29.83 / $37.25	Professional	26	$22.18	$29.83	$37.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.42 / $17.78	Professional	TC	$10.96	$13.42	$17.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $98.42 / $98.42	Facility	26	$51.77	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $36.71 / $69.02	Professional		$28.46	$36.71	$69.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $24.82 / $53.52	Professional	26	$19.23	$24.82	$53.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $11.62 / $25.88	Professional	TC	$8.66	$11.62	$25.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $36.00 / $56.25	Professional		$27.68	$36.00	$56.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $24.63 / $37.45	Professional	26	$18.77	$24.63	$37.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.66 / $11.51 / $18.42	Professional	TC	$8.66	$11.51	$18.42