Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.24 / $121.42 / $140.36	Facility	26	$82.24	$121.42	$140.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $299.02 / $475.00	Professional		$250.00	$299.02	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $90.21 / $141.22	Professional	26	$62.50	$90.21	$141.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $149.52 / $236.09	Professional	52	$125.00	$149.52	$236.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $208.82 / $335.00	Professional	TC	$187.50	$208.82	$335.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.81 / $133.21 / $140.19	Professional	26	$77.81	$133.21	$140.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $278.25 / $382.08	Professional		$90.31	$278.25	$382.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.93 / $81.93 / $131.57	Facility	26	$81.93	$81.93	$131.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $441.79 / $702.29	Professional		$233.74	$441.79	$702.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $83.75 / $141.06	Professional	26	$73.34	$83.75	$141.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.46 / $315.13 / $581.99	Professional	TC	$158.46	$315.13	$581.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $612.55 / $789.76 / $789.76	Facility	26	$612.55	$789.76	$789.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.85 / $414.40 / $3,445.62	Professional		$272.85	$414.40	$3,445.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $96.41 / $672.00	Professional	26	$72.80	$96.41	$672.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $193.41 / $380.97 / $2,996.90	Professional	TC	$193.41	$380.97	$2,996.90
United Facility/Professional Professional Modifier Low / Median / High Price $272.85 / $360.66 / $683.19	Professional		$272.85	$360.66	$683.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.80 / $91.31 / $173.32	Professional	26	$72.80	$91.31	$173.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $193.41 / $240.09 / $593.26	Professional	TC	$193.41	$240.09	$593.26