Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.34 / $39.42 / $61.24	Facility	26	$33.34	$39.42	$61.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $117.56 / $164.34	Professional		$113.34	$117.56	$164.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $37.82 / $57.23	Professional	26	$29.75	$37.82	$57.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.41 / $58.78 / $69.15	Professional	52	$55.41	$58.78	$69.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $84.52 / $117.07	Professional	TC	$80.84	$84.52	$117.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $88.16 / $175.17	Professional		$83.96	$88.16	$175.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $25.59 / $38.08	Professional	26	$24.37	$25.59	$38.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.59 / $65.25 / $114.98	Professional	TC	$59.59	$65.25	$114.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $159.02 / $159.02	Professional		$159.02	$159.02	$159.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $123.96 / $205.53	Professional		$91.06	$123.96	$205.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $43.28 / $60.27	Professional	26	$27.87	$43.28	$60.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.05 / $88.80 / $150.72	Professional	TC	$62.05	$88.80	$150.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $77.65 / $148.36 / $148.36	Facility	26	$77.65	$148.36	$148.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $145.38 / $778.42	Professional		$111.12	$145.38	$778.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $43.35 / $290.60	Professional	26	$32.86	$43.35	$290.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $78.26 / $102.70 / $570.15	Professional	TC	$78.26	$102.70	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $129.38 / $240.67	Professional		$111.12	$129.38	$240.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.70 / $38.90 / $60.79	Professional	26	$33.70	$38.90	$60.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.26 / $92.05 / $143.78	Professional	TC	$78.26	$92.05	$143.78