Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.28 / $97.93 / $117.79	Facility	26	$63.28	$97.93	$117.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $312.55 / $475.00	Professional		$209.41	$312.55	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $97.93 / $140.00	Professional	26	$62.50	$97.93	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.71 / $125.00 / $176.41	Professional	52	$104.71	$125.00	$176.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.22 / $214.63 / $335.00	Professional	TC	$142.22	$214.63	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $205.76 / $306.75	Professional		$149.38	$205.76	$306.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.72 / $59.66 / $88.95	Professional	26	$47.72	$59.66	$88.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $142.49 / $160.26 / $252.00	Professional	TC	$142.49	$160.26	$252.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $206.85 / $284.02	Professional		$64.40	$206.85	$284.02
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 $175.62 / $338.28 / $601.01	Professional		$175.62	$338.28	$601.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $63.60 / $107.05	Professional	26	$55.92	$63.60	$107.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.35 / $232.43 / $509.30	Professional	TC	$118.35	$232.43	$509.30
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 $202.21 / $285.42 / $2,791.06	Professional		$202.21	$285.42	$2,791.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $73.11 / $525.38	Professional	26	$54.76	$73.11	$525.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $141.91 / $279.52 / $2,451.15	Professional	TC	$141.91	$279.52	$2,451.15
United Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $236.78 / $534.70	Professional		$185.94	$236.78	$534.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $69.29 / $137.12	Professional	26	$54.76	$69.29	$137.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.91 / $173.57 / $448.20	Professional	TC	$141.91	$173.57	$448.20