Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $104.96 / $127.23	Facility	26	$67.61	$104.96	$127.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.66 / $275.00 / $475.00	Professional		$236.66	$275.00	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $73.75 / $140.00	Professional	26	$62.50	$73.75	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $118.33 / $126.45 / $202.17	Professional	52	$118.33	$126.45	$202.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.17 / $206.25 / $335.00	Professional	TC	$164.17	$206.25	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.70 / $343.70 / $343.70	Professional		$343.70	$343.70	$343.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.47 / $51.47 / $114.35	Professional	26	$51.47	$51.47	$114.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $162.69 / $162.69 / $162.69	Professional	TC	$162.69	$162.69	$162.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $239.05 / $328.25	Professional		$68.95	$239.05	$328.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.75 / $66.75 / $107.60	Facility	26	$66.75	$66.75	$107.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $392.70 / $609.91	Professional		$196.74	$392.70	$609.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.17 / $68.84 / $115.94	Professional	26	$60.17	$68.84	$115.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $290.50 / $524.41	Professional	TC	$134.97	$290.50	$524.41
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 $235.17 / $376.57 / $3,507.01	Professional		$235.17	$376.57	$3,507.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $79.12 / $571.29	Professional	26	$59.27	$79.12	$571.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $169.86 / $334.58 / $2,477.29	Professional	TC	$169.86	$334.58	$2,477.29
United Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $324.37 / $591.28	Professional		$235.17	$324.37	$591.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $75.06 / $140.16	Professional	26	$59.27	$75.06	$140.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.86 / $234.29 / $505.13	Professional	TC	$169.86	$234.29	$505.13