Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.39 / $32.09 / $50.65	Facility	26	$26.39	$32.09	$50.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $101.44 / $157.25	Professional		$91.31	$101.44	$157.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $27.91 / $49.72	Professional	26	$26.39	$27.91	$49.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.60 / $46.22 / $60.95	Professional	52	$45.60	$46.22	$60.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.92 / $71.77 / $104.09	Professional	TC	$64.92	$71.77	$104.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $122.77 / $190.22	Professional		$79.59	$122.77	$190.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.48 / $31.35 / $41.31	Professional	26	$24.48	$31.35	$41.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $99.14 / $99.14 / $135.25	Professional	TC	$99.14	$99.14	$135.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $114.80 / $157.63	Professional		$33.61	$114.80	$157.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.28 / $31.28 / $51.04	Facility	26	$31.28	$31.28	$51.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $108.08 / $176.15	Professional		$90.91	$108.08	$176.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $32.45 / $49.76	Professional	26	$27.29	$32.45	$49.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.94 / $75.33 / $126.39	Professional	TC	$65.94	$75.33	$126.39
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 $106.45 / $130.16 / $778.42	Professional		$106.45	$130.16	$778.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.77 / $37.47 / $290.60	Professional	26	$30.77	$37.47	$290.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.38 / $92.56 / $570.15	Professional	TC	$76.38	$92.56	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $125.07 / $187.85	Professional		$100.18	$125.07	$187.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $36.28 / $53.83	Professional	26	$30.07	$36.28	$53.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.58 / $88.79 / $134.47	Professional	TC	$74.58	$88.79	$134.47