Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.28 / $98.38 / $117.79	Facility	26	$63.28	$98.38	$117.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.73 / $313.02 / $475.00	Professional		$209.73	$313.02	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $98.38 / $140.00	Professional	26	$62.50	$98.38	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.87 / $125.00 / $176.68	Professional	52	$104.87	$125.00	$176.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.55 / $214.63 / $335.00	Professional	TC	$142.55	$214.63	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $206.08 / $307.23	Professional		$149.63	$206.08	$307.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $59.66 / $101.35	Professional	26	$47.72	$59.66	$101.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $142.82 / $160.63 / $253.00	Professional	TC	$142.82	$160.63	$253.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $207.55 / $285.00	Professional		$64.75	$207.55	$285.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.82 / $61.82 / $99.41	Facility	26	$61.82	$61.82	$99.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $339.79 / $592.87	Professional		$175.89	$339.79	$592.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.19 / $64.45 / $108.57	Professional	26	$56.19	$64.45	$108.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.62 / $241.69 / $498.64	Professional	TC	$118.62	$241.69	$498.64
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 $203.15 / $286.70 / $2,789.74	Professional		$203.15	$286.70	$2,789.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $71.16 / $542.85	Professional	26	$54.76	$71.16	$542.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.91 / $279.54 / $2,451.15	Professional	TC	$141.91	$279.54	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $256.50 / $612.32	Professional		$203.15	$256.50	$612.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $70.37 / $133.54	Professional	26	$54.76	$70.37	$133.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.91 / $173.57 / $498.96	Professional	TC	$141.91	$173.57	$498.96