Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.71 / $18.62	Facility	26	$7.94	$8.71	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $199.53	Professional		$51.29	$67.61	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $35.48	Professional	26	$7.94	$10.23	$35.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $104.71	Professional	TC	$41.69	$52.48	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $69.18	Professional		$42.66	$52.48	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $12.59	Professional	26	$8.13	$10.00	$12.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $72.44	Professional		$38.90	$53.70	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $12.88	Professional	26	$5.89	$8.13	$12.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $70.79	Professional	TC	$32.36	$42.66	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $112.20	Professional		$52.48	$67.61	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $18.62	Professional	26	$8.32	$10.47	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $95.50	Professional	TC	$43.65	$56.23	$95.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $79.43 / $79.43	Facility	26	$20.42	$79.43	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $371.54	Professional		$48.98	$67.61	$371.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $54.95	Professional	26	$7.94	$10.72	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $57.54 / $316.23	Professional	TC	$41.69	$57.54	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $100.00	Professional		$48.98	$60.26	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $16.22	Professional	26	$7.76	$9.33	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $85.11	Professional	TC	$40.74	$50.12	$85.11