Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.43 / $120.49 / $160.27	Facility	26	$81.43	$120.49	$160.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $337.92 / $504.98	Professional		$137.72	$337.92	$504.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.26 / $134.58 / $189.15	Professional	26	$83.26	$134.58	$189.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $144.24 / $168.96 / $252.49	Professional	52	$144.24	$168.96	$252.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.26 / $319.19 / $485.75	Professional	TC	$198.26	$319.19	$485.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $154.01 / $341.77	Professional		$147.79	$154.01	$341.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $48.74 / $68.28	Professional	26	$47.50	$48.74	$68.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $106.56 / $106.56 / $162.97	Professional	TC	$106.56	$106.56	$162.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.03 / $458.03 / $458.03	Professional		$458.03	$458.03	$458.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $370.72 / $776.00	Professional		$170.56	$370.72	$776.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.10 / $84.84 / $142.00	Professional	26	$55.10	$84.84	$142.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.34 / $259.83 / $634.00	Professional	TC	$128.34	$259.83	$634.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $603.28 / $603.28	Facility	26	$466.08	$603.28	$603.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.45 / $498.00 / $2,789.74	Professional		$237.45	$498.00	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $92.64 / $542.85	Professional	26	$60.99	$92.64	$542.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $167.10 / $437.01 / $2,451.15	Professional	TC	$167.10	$437.01	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $433.94 / $648.04	Professional		$233.50	$433.94	$648.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.99 / $79.12 / $133.54	Professional	26	$60.99	$79.12	$133.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.13 / $277.32 / $490.03	Professional	TC	$163.13	$277.32	$490.03