Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.56 / $54.32 / $61.41	Facility	26	$52.56	$54.32	$61.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $165.00 / $226.80	Professional		$128.31	$165.00	$226.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.02 / $51.30 / $54.33	Professional	26	$41.02	$51.30	$54.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.16 / $79.23 / $85.50	Professional	52	$64.16	$79.23	$85.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.29 / $111.87 / $177.61	Professional	TC	$87.29	$111.87	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $126.85 / $126.85	Professional		$126.85	$126.85	$126.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $37.77 / $50.99	Professional	26	$30.22	$37.77	$50.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $127.75 / $175.42	Professional		$40.25	$127.75	$175.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.37 / $52.37 / $83.85	Facility	26	$52.37	$52.37	$83.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $201.31 / $319.52	Professional		$109.51	$201.31	$319.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $52.24 / $81.95	Professional	26	$36.10	$52.24	$81.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.63 / $140.51 / $240.37	Professional	TC	$73.63	$140.51	$240.37
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $295.27 / $379.28 / $379.28	Facility	26	$295.27	$379.28	$379.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $189.03 / $1,413.47	Professional		$125.80	$189.03	$1,413.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $52.56 / $333.52	Professional	26	$38.31	$52.56	$333.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $156.46 / $1,220.00	Professional	TC	$84.77	$156.46	$1,220.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $152.79 / $277.99	Professional		$123.08	$152.79	$277.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $46.06 / $83.22	Professional	26	$38.31	$46.06	$83.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $103.84 / $194.37	Professional	TC	$84.77	$103.84	$194.37