Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.91 / $78.84 / $108.07	Facility	26	$65.91	$78.84	$108.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $205.70 / $281.16	Professional		$134.97	$205.70	$281.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.88 / $63.36 / $95.07	Professional	26	$44.88	$63.36	$95.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $67.48 / $83.68 / $103.50	Professional	52	$67.48	$83.68	$103.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.87 / $126.84 / $217.98	Professional	TC	$83.87	$126.84	$217.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $97.01 / $224.33	Professional		$97.01	$97.01	$224.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $37.88 / $54.33	Professional	26	$37.79	$37.88	$54.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.61 / $62.92 / $96.24	Professional	TC	$29.61	$62.92	$96.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $307.05 / $307.05	Professional		$307.05	$307.05	$307.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $236.77 / $436.00	Professional		$111.72	$236.77	$436.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $70.76 / $96.00	Professional	26	$41.48	$70.76	$96.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.48 / $148.96 / $340.00	Professional	TC	$75.48	$148.96	$340.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $371.04 / $479.84 / $479.84	Facility	26	$371.04	$479.84	$479.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $271.99 / $1,609.32	Professional		$166.37	$271.99	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $80.76 / $394.61	Professional	26	$52.37	$80.76	$394.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $103.87 / $219.62 / $1,384.00	Professional	TC	$103.87	$219.62	$1,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $249.62 / $357.12	Professional		$160.60	$249.62	$357.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $67.23 / $100.62	Professional	26	$52.37	$67.23	$100.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $152.02 / $260.06	Professional	TC	$101.41	$152.02	$260.06