Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.37 / $20.37 / $29.66	Facility	26	$20.37	$20.37	$29.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $66.56 / $137.63	Professional		$54.52	$66.56	$137.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $18.82 / $41.07	Professional	26	$16.39	$18.82	$41.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.19 / $31.57 / $68.81	Professional	52	$26.19	$31.57	$68.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $44.26 / $96.56	Professional	TC	$38.11	$44.26	$96.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $62.48 / $62.48	Professional		$62.48	$62.48	$62.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.29 / $19.29 / $25.16	Professional	26	$19.29	$19.29	$25.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $82.35 / $82.35	Professional		$82.35	$82.35	$82.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $91.00 / $195.81	Professional		$57.56	$91.00	$195.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $26.47 / $57.41	Professional	26	$18.11	$26.47	$57.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $65.00 / $138.40	Professional	TC	$39.22	$65.00	$138.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $42.01 / $42.01	Facility	26	$42.01	$42.01	$42.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $81.56 / $415.00	Professional		$64.53	$81.56	$415.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $25.40 / $115.58	Professional	26	$20.09	$25.40	$115.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.18 / $56.65 / $299.48	Professional	TC	$44.18	$56.65	$299.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $77.23 / $124.43	Professional		$62.14	$77.23	$124.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.51 / $23.65 / $38.99	Professional	26	$19.51	$23.65	$38.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.92 / $53.65 / $101.85	Professional	TC	$42.92	$53.65	$101.85