Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.96 / $144.37 / $171.81	Facility	26	$87.96	$144.37	$171.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $412.19 / $577.87	Professional		$327.10	$412.19	$577.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.38 / $113.36 / $171.82	Professional	26	$89.38	$113.36	$171.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $163.55 / $191.59 / $286.20	Professional	52	$163.55	$191.59	$286.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $230.33 / $306.76 / $474.29	Professional	TC	$230.33	$306.76	$474.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $165.41 / $165.41	Professional		$165.41	$165.41	$165.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.18 / $51.78 / $73.58	Professional	26	$51.18	$51.78	$73.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $185.61 / $185.61 / $185.61	Professional	TC	$185.61	$185.61	$185.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.32 / $508.32 / $508.32	Professional		$508.32	$508.32	$508.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.54 / $406.16 / $757.00	Professional		$192.54	$406.16	$757.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.96 / $91.33 / $130.80	Professional	26	$58.96	$91.33	$130.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.05 / $304.50 / $637.00	Professional	TC	$151.05	$304.50	$637.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.88 / $650.32 / $650.32	Facility	26	$502.88	$650.32	$650.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.25 / $519.90 / $3,507.01	Professional		$279.25	$519.90	$3,507.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.00 / $98.86 / $571.29	Professional	26	$66.00	$98.86	$571.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $199.98 / $453.90 / $2,477.29	Professional	TC	$199.98	$453.90	$2,477.29
United Facility/Professional Professional Modifier Low / Median / High Price $270.31 / $459.53 / $658.19	Professional		$270.31	$459.53	$658.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.00 / $85.36 / $145.47	Professional	26	$66.00	$85.36	$145.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.24 / $359.52 / $513.94	Professional	TC	$195.24	$359.52	$513.94