Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.49 / $17.47 / $541.34	Facility	26	$12.49	$17.47	$541.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $100.00 / $179.85	Professional		$63.74	$100.00	$179.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.51 / $26.89	Professional	26	$11.48	$14.51	$26.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.77 / $49.44 / $89.93	Professional	52	$37.77	$49.44	$89.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.73 / $88.69 / $152.96	Professional	TC	$67.73	$88.69	$152.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Professional		$57.57	$57.57	$57.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $8.77 / $12.26	Professional	26	$8.52	$8.77	$12.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.11 / $52.11 / $52.11	Professional	TC	$52.11	$52.11	$52.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $123.97 / $123.97	Professional		$123.97	$123.97	$123.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $123.54 / $193.00	Professional		$75.29	$123.54	$193.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $18.05 / $32.00	Professional	26	$11.53	$18.05	$32.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.53 / $107.35 / $161.00	Professional	TC	$67.53	$107.35	$161.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.12 / $27.12 / $125.86	Facility	26	$27.12	$27.12	$125.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $138.54 / $768.54	Professional		$86.62	$138.54	$768.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $17.30 / $267.48	Professional	26	$12.99	$17.30	$267.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.63 / $124.14 / $698.48	Professional	TC	$73.63	$124.14	$698.48
United Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $128.54 / $205.84	Professional		$86.62	$128.54	$205.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $16.05 / $22.40	Professional	26	$12.85	$16.05	$22.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.63 / $103.29 / $157.12	Professional	TC	$73.63	$103.29	$157.12