Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.74 / $98.69 / $238.65	Facility	26	$61.74	$98.69	$238.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $225.19 / $382.75	Professional		$143.28	$225.19	$382.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $56.23 / $179.12	Professional	26	$44.14	$56.23	$179.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $67.23 / $84.39 / $140.38	Professional	52	$67.23	$84.39	$140.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.54 / $188.59 / $306.32	Professional	TC	$97.54	$188.59	$306.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $118.10 / $133.50	Professional		$92.80	$118.10	$133.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.62 / $84.11	Professional	26	$38.90	$48.62	$84.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $87.73 / $87.73 / $87.73	Professional	TC	$87.73	$87.73	$87.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $151.54 / $189.43	Professional		$132.60	$151.54	$189.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $50.77 / $64.38	Professional	26	$49.50	$50.77	$64.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.18 / $100.78 / $125.97	Professional	TC	$88.18	$100.78	$125.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $237.15 / $397.00	Professional		$115.94	$237.15	$397.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.45 / $64.34 / $108.17	Professional	26	$37.45	$64.34	$108.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.37 / $177.63 / $291.52	Professional	TC	$71.37	$177.63	$291.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $479.84 / $479.84 / $479.84	Facility	26	$479.84	$479.84	$479.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $249.62 / $1,609.32	Professional		$136.51	$249.62	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.20 / $55.49 / $394.61	Professional	26	$44.20	$55.49	$394.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $191.91 / $1,384.00	Professional	TC	$86.20	$191.91	$1,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $200.50 / $342.07	Professional		$136.51	$200.50	$342.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $50.31 / $98.40	Professional	26	$43.32	$50.31	$98.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $157.19 / $232.41	Professional	TC	$86.20	$157.19	$232.41