Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.24 / $12.61 / $17.86	Facility	26	$11.24	$12.61	$17.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $51.56 / $69.77	Professional		$41.90	$51.56	$69.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $11.24 / $16.64	Professional	26	$10.76	$11.24	$16.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.03 / $25.20 / $31.78	Professional	52	$24.03	$25.20	$31.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.81 / $40.79 / $52.33	Professional	TC	$36.81	$40.79	$52.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $52.42 / $104.60	Professional		$51.03	$52.42	$104.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $13.73 / $17.57	Professional	26	$11.16	$13.73	$17.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $50.05 / $68.73	Professional		$11.90	$50.05	$68.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $67.77 / $88.46	Professional		$53.46	$67.77	$88.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $16.07 / $20.44	Professional	26	$12.04	$16.07	$20.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.77 / $50.98 / $67.01	Professional	TC	$41.77	$50.98	$67.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $80.00	Facility	26	$27.92	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $59.95 / $109.70	Professional		$45.24	$59.95	$109.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $13.68 / $74.58	Professional	26	$10.46	$13.68	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $43.96 / $272.27	Professional	TC	$33.50	$43.96	$272.27
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $57.23 / $89.93	Professional		$43.60	$57.23	$89.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $13.27 / $20.52	Professional	26	$10.29	$13.27	$20.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.50 / $43.96 / $69.09	Professional	TC	$33.50	$43.96	$69.09