Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $371.54 / $407.38	Facility	26	$295.12	$371.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,000.00	Professional		$281.84	$457.09	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $354.81	Professional	26	$85.11	$141.25	$354.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	52	$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $316.23 / $660.69	Professional	TC	$190.55	$316.23	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $263.03	Professional		$177.83	$177.83	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $69.18 / $141.25	Professional	26	$63.10	$69.18	$141.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $134.90 / $158.49	Professional	TC	$131.83	$134.90	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $616.60	Professional		$275.42	$354.81	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $93.33 / $165.96	Professional	26	$74.13	$93.33	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $257.04 / $457.09	Professional	TC	$199.53	$257.04	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $891.25	Professional		$223.87	$457.09	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $181.97	Professional	26	$64.57	$100.00	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $346.74 / $724.44	Professional	TC	$162.18	$346.74	$724.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $794.33 / $794.33	Facility	26	$616.60	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $3,467.37	Professional		$269.15	$537.03	$3,467.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $87.10 / $676.08	Professional	26	$72.44	$87.10	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $416.87 / $3,019.95	Professional	TC	$190.55	$416.87	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $676.08	Professional		$269.15	$426.58	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $77.62 / $138.04	Professional	26	$72.44	$77.62	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $338.84 / $537.03	Professional	TC	$190.55	$338.84	$537.03