Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.03 / $12.47 / $20.12	Facility	26	$9.03	$12.47	$20.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $63.76 / $124.39	Professional		$52.54	$63.76	$124.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.31 / $9.22 / $20.12	Professional	26	$8.31	$9.22	$20.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.21 / $29.22 / $62.20	Professional	52	$26.21	$29.22	$62.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.31 / $52.64 / $104.28	Professional	TC	$43.31	$52.64	$104.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $57.00 / $85.57	Professional		$45.11	$57.00	$85.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $9.28 / $13.71	Professional	26	$7.40	$9.28	$13.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $83.89 / $83.89	Professional		$83.89	$83.89	$83.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $74.65 / $109.61	Professional		$52.87	$74.65	$109.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $11.96 / $20.00	Professional	26	$8.78	$11.96	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.66 / $62.98 / $92.23	Professional	TC	$43.66	$62.98	$92.23
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 $57.38 / $73.04 / $373.69	Professional		$57.38	$73.04	$373.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $12.27 / $55.28	Professional	26	$9.58	$12.27	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $61.33 / $318.41	Professional	TC	$48.00	$61.33	$318.41
United Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $69.38 / $103.35	Professional		$55.24	$69.38	$103.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $11.61 / $16.78	Professional	26	$9.38	$11.61	$16.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.60 / $57.87 / $86.29	Professional	TC	$45.60	$57.87	$86.29