Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.91 / $138.60 / $263.60	Facility	26	$98.91	$138.60	$263.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $475.00 / $1,006.86	Professional		$216.03	$475.00	$1,006.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.03 / $140.00 / $271.00	Professional	26	$73.03	$140.00	$271.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.76 / $187.50 / $237.50	Professional	52	$101.76	$187.50	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.74 / $335.00 / $441.00	Professional	TC	$135.74	$335.00	$441.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $169.64 / $191.77	Professional		$144.40	$169.64	$191.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $93.58 / $129.66	Professional	26	$53.47	$93.58	$129.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $91.21 / $146.94 / $146.94	Professional	TC	$91.21	$146.94	$146.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $218.34 / $272.93	Professional		$191.05	$218.34	$272.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $69.80 / $87.25	Professional	26	$61.08	$69.80	$87.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.97 / $148.54 / $185.68	Professional	TC	$129.97	$148.54	$185.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	26	$80.59	$80.59	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $396.29 / $692.25	Professional		$160.58	$396.29	$692.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $87.92 / $151.21	Professional	26	$51.87	$87.92	$151.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.81 / $268.13 / $559.38	Professional	TC	$105.81	$268.13	$559.38
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $659.84 / $659.84 / $659.84	Facility	26	$659.84	$659.84	$659.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $449.43 / $3,145.84	Professional		$187.74	$449.43	$3,145.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $75.81 / $577.89	Professional	26	$60.23	$75.81	$577.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $325.76 / $2,772.01	Professional	TC	$123.01	$325.76	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $324.77 / $538.09	Professional		$187.74	$324.77	$538.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $64.73 / $134.63	Professional	26	$60.23	$64.73	$134.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $218.73 / $412.94	Professional	TC	$123.01	$218.73	$412.94