Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.18 / $16.89 / $27.21	Facility	26	$12.18	$16.89	$27.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $63.80 / $119.47	Professional		$50.31	$63.80	$119.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $14.14 / $27.22	Professional	26	$11.24	$14.14	$27.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.72 / $28.14 / $59.74	Professional	52	$24.72	$28.14	$59.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $48.31 / $92.24	Professional	TC	$39.22	$48.31	$92.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $52.61 / $86.81	Professional		$45.73	$52.61	$86.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $12.57 / $18.45	Professional	26	$9.96	$12.57	$18.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $83.59 / $83.59	Professional		$83.59	$83.59	$83.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $73.65 / $105.31	Professional		$51.29	$73.65	$105.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.99 / $16.68 / $25.40	Professional	26	$11.99	$16.68	$25.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.36 / $56.28 / $81.90	Professional	TC	$39.36	$56.28	$81.90
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 $54.50 / $71.09 / $346.85	Professional		$54.50	$71.09	$346.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $16.89 / $74.58	Professional	26	$12.89	$16.89	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.87 / $54.51 / $272.27	Professional	TC	$41.87	$54.51	$272.27
United Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $69.22 / $106.57	Professional		$53.53	$69.22	$106.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $15.64 / $23.32	Professional	26	$12.63	$15.64	$23.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.87 / $53.00 / $85.58	Professional	TC	$41.87	$53.00	$85.58