Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.14 / $78.54 / $188.37	Facility	26	$49.14	$78.54	$188.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $253.19 / $730.29	Professional		$144.63	$253.19	$730.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $54.79 / $175.00	Professional	26	$41.79	$54.79	$175.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.55 / $79.23 / $137.50	Professional	52	$64.55	$79.23	$137.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.43 / $184.55 / $291.63	Professional	TC	$101.43	$184.55	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $113.61 / $172.89	Professional		$92.62	$113.61	$172.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.79 / $54.17 / $73.93	Professional	26	$30.79	$54.17	$73.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $147.56 / $184.45	Professional		$129.12	$147.56	$184.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $40.40 / $50.51	Professional	26	$35.36	$40.40	$50.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.76 / $107.15 / $133.94	Professional	TC	$93.76	$107.15	$133.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.27 / $46.27 / $46.27	Facility	26	$46.27	$46.27	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $233.42 / $388.00	Professional		$111.28	$233.42	$388.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.90 / $59.38 / $97.87	Professional	26	$29.90	$59.38	$97.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.09 / $170.83 / $284.05	Professional	TC	$76.09	$170.83	$284.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $379.28 / $379.28 / $379.28	Facility	26	$379.28	$379.28	$379.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $233.20 / $1,413.47	Professional		$120.25	$233.20	$1,413.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.43 / $49.36 / $333.52	Professional	26	$37.43	$49.36	$333.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $82.82 / $187.14 / $1,220.00	Professional	TC	$82.82	$187.14	$1,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $209.42 / $311.88	Professional		$119.91	$209.42	$311.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.13 / $46.86 / $88.06	Professional	26	$37.13	$46.86	$88.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.78 / $141.60 / $218.12	Professional	TC	$82.78	$141.60	$218.12