Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.58 / $107.08 / $128.30	Facility	26	$68.58	$107.08	$128.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $315.10 / $475.00	Professional		$198.40	$315.10	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $110.00 / $140.00	Professional	26	$62.50	$110.00	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.20 / $125.00 / $167.29	Professional	52	$99.20	$125.00	$167.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.87 / $198.45 / $335.00	Professional	TC	$124.87	$198.45	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $194.43 / $215.91	Professional		$140.83	$194.43	$215.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.22 / $55.49 / $88.13	Professional	26	$52.22	$55.49	$88.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $124.27 / $139.69 / $225.97	Professional	TC	$124.27	$139.69	$225.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $196.70 / $270.10	Professional		$70.00	$196.70	$270.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.94 / $67.94 / $109.44	Facility	26	$67.94	$67.94	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $322.75 / $583.63	Professional		$165.82	$322.75	$583.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $69.83 / $117.61	Professional	26	$61.01	$69.83	$117.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.15 / $213.15 / $476.39	Professional	TC	$103.15	$213.15	$476.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $510.16 / $659.84 / $659.84	Facility	26	$510.16	$659.84	$659.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.16 / $302.01 / $3,145.84	Professional		$192.16	$302.01	$3,145.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $77.98 / $577.89	Professional	26	$60.23	$77.98	$577.89
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.91 / $265.27 / $2,772.01	Professional	TC	$125.91	$265.27	$2,772.01
United Facility/Professional Professional Modifier Low / Median / High Price $192.16 / $242.88 / $591.90	Professional		$192.16	$242.88	$591.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $76.15 / $134.63	Professional	26	$60.23	$76.15	$134.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.01 / $152.06 / $483.52	Professional	TC	$123.01	$152.06	$483.52