Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $16.86 / $16.86	Facility	26	$7.98	$16.86	$16.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $60.14 / $159.12	Professional		$50.94	$60.14	$159.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.22 / $40.13	Professional	26	$7.45	$9.22	$40.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.20 / $28.78 / $34.11	Professional	52	$25.20	$28.78	$34.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $49.36 / $82.01	Professional	TC	$42.95	$49.36	$82.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $51.39 / $67.39	Professional		$42.45	$51.39	$67.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $9.14 / $11.63	Professional	26	$7.54	$9.14	$11.63
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $38.40 / $42.50	Professional	TC	$38.40	$38.40	$42.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $46.17 / $57.71	Professional		$38.67	$46.17	$57.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.15 / $8.49	Professional	26	$5.90	$7.15	$8.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.19 / $39.02 / $44.38	Professional	TC	$32.19	$39.02	$44.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $65.45 / $115.33	Professional		$51.41	$65.45	$115.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.42 / $18.59	Professional	26	$8.36	$10.42	$18.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.87 / $55.30 / $97.49	Professional	TC	$42.87	$55.30	$97.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $20.60 / $80.00	Facility	26	$20.60	$20.60	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $62.80 / $373.69	Professional		$48.91	$62.80	$373.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $9.85 / $55.28	Professional	26	$7.80	$9.85	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.23 / $53.19 / $318.41	Professional	TC	$41.23	$53.19	$318.41
United Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $58.09 / $106.75	Professional		$47.74	$58.09	$106.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $9.36 / $16.62	Professional	26	$7.57	$9.36	$16.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.75 / $49.21 / $90.32	Professional	TC	$40.75	$49.21	$90.32