Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.04 / $119.60 / $153.91	Facility	26	$64.04	$119.60	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $165.04 / $599.26	Professional		$89.01	$165.04	$599.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $59.07 / $226.81	Professional	26	$41.14	$59.07	$226.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.71 / $57.83 / $103.75	Professional	52	$42.71	$57.83	$103.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.55 / $95.13 / $145.05	Professional	TC	$45.55	$95.13	$145.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $91.39 / $260.58	Professional		$86.82	$91.39	$260.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.19 / $37.19 / $57.85	Professional	26	$37.19	$37.19	$57.85
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $21.71 / $21.71 / $21.71	Professional	52	$21.71	$21.71	$21.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $87.72 / $109.65	Professional		$65.79	$87.72	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $39.36 / $49.20	Professional	26	$29.52	$39.36	$49.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $48.36 / $60.45	Professional	TC	$36.27	$48.36	$60.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.80 / $49.80 / $49.80	Facility	26	$49.80	$49.80	$49.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $204.68 / $351.24	Professional		$95.19	$204.68	$351.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.12 / $77.40 / $128.30	Professional	26	$43.12	$77.40	$128.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.02 / $127.28 / $216.84	Professional	TC	$51.02	$127.28	$216.84
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $333.99 / $333.99	Facility	26	$102.90	$333.99	$333.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $203.00 / $3,000.00	Professional		$111.37	$203.00	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.52 / $76.68 / $870.13	Professional	26	$43.52	$76.68	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.66 / $124.60 / $870.13	Professional	TC	$66.66	$124.60	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $180.88 / $272.60	Professional		$108.90	$180.88	$272.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $71.45 / $115.19	Professional	26	$42.24	$71.45	$115.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.43 / $113.92 / $162.74	Professional	TC	$63.43	$113.92	$162.74