Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.75 / $22.75 / $22.75	Facility	26	$10.75	$22.75	$22.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $58.21 / $157.69	Professional		$51.23	$58.21	$157.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $12.94 / $55.00	Professional	26	$10.93	$12.94	$55.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.53 / $27.42 / $32.65	Professional	52	$24.53	$27.42	$32.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.32 / $44.17 / $77.70	Professional	TC	$39.32	$44.17	$77.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $48.34 / $61.77	Professional		$42.97	$48.34	$61.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.26 / $15.69	Professional	26	$9.97	$13.26	$15.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $46.70 / $58.37	Professional		$39.11	$46.70	$58.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $9.64 / $11.45	Professional	26	$7.95	$9.64	$11.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.57 / $37.06 / $42.15	Professional	TC	$30.57	$37.06	$42.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $64.76 / $110.46	Professional		$50.04	$64.76	$110.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $14.78 / $25.07	Professional	26	$11.43	$14.78	$25.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.65 / $50.10 / $87.92	Professional	TC	$38.65	$50.10	$87.92
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $27.92 / $80.00	Facility	26	$27.92	$27.92	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $61.62 / $346.85	Professional		$48.32	$61.62	$346.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $14.28 / $74.58	Professional	26	$10.85	$14.28	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $47.58 / $272.27	Professional	TC	$37.11	$47.58	$272.27
United Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $57.38 / $103.70	Professional		$46.81	$57.38	$103.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $13.27 / $23.77	Professional	26	$10.75	$13.27	$23.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.00 / $43.96 / $80.05	Professional	TC	$36.00	$43.96	$80.05