Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.73 / $67.31 / $74.05	Facility	26	$46.73	$67.31	$74.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $171.00 / $227.43	Professional		$133.88	$171.00	$227.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.97 / $54.53 / $68.84	Professional	26	$47.97	$54.53	$68.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $66.95 / $82.31 / $88.10	Professional	52	$66.95	$82.31	$88.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.87 / $104.98 / $177.61	Professional	TC	$81.87	$104.98	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $120.38 / $134.79	Professional		$84.27	$120.38	$134.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $47.49 / $64.11	Professional	26	$37.99	$47.49	$64.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $94.76 / $94.76 / $151.00	Professional	TC	$94.76	$94.76	$151.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $133.35 / $183.11	Professional		$51.24	$133.35	$183.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.34 / $53.34 / $85.48	Facility	26	$53.34	$53.34	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $200.04 / $320.33	Professional		$115.57	$200.04	$320.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.90 / $54.32 / $83.70	Professional	26	$41.90	$54.32	$83.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.98 / $143.75 / $246.52	Professional	TC	$69.98	$143.75	$246.52
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 $137.54 / $203.96 / $1,609.32	Professional		$137.54	$203.96	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $62.79 / $394.61	Professional	26	$47.03	$62.79	$394.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $88.22 / $152.11 / $1,384.00	Professional	TC	$88.22	$152.11	$1,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $176.66 / $308.37	Professional		$139.72	$176.66	$308.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.03 / $59.19 / $88.09	Professional	26	$47.03	$59.19	$88.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $88.22 / $113.04 / $210.11	Professional	TC	$88.22	$113.04	$210.11