Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.33 / $9.35 / $13.24	Facility	26	$8.33	$9.35	$13.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $52.75 / $71.86	Professional		$45.19	$52.75	$71.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.33 / $13.10	Professional	26	$7.33	$8.33	$13.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.20 / $26.38 / $33.70	Professional	52	$25.20	$26.38	$33.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.95 / $45.29 / $57.73	Professional	TC	$42.95	$45.29	$57.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $51.49 / $103.40	Professional		$49.04	$51.49	$103.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $10.18 / $11.70	Professional	26	$8.14	$10.18	$11.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $53.90 / $74.01	Professional		$8.75	$53.90	$74.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $69.67 / $89.17	Professional		$54.20	$69.67	$89.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $11.68 / $14.80	Professional	26	$8.84	$11.68	$14.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.16 / $57.40 / $74.37	Professional	TC	$45.16	$57.40	$74.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $80.00 / $80.00	Facility	26	$20.60	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $61.16 / $115.50	Professional		$47.63	$61.16	$115.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $9.94 / $55.28	Professional	26	$7.69	$9.94	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $50.40 / $318.41	Professional	TC	$38.40	$50.40	$318.41
United Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $59.03 / $94.19	Professional		$45.90	$59.03	$94.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $9.66 / $15.48	Professional	26	$7.50	$9.66	$15.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $49.32 / $77.15	Professional	TC	$38.40	$49.32	$77.15