Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.07 / $88.31 / $115.44	Facility	26	$47.07	$88.31	$115.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $158.75 / $232.81	Professional		$89.88	$158.75	$232.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.11 / $66.15 / $96.34	Professional	26	$43.11	$66.15	$96.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.11 / $55.73 / $116.41	Professional	52	$43.11	$55.73	$116.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $95.13 / $148.60	Professional	TC	$46.77	$95.13	$148.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $99.64 / $99.64	Professional		$80.56	$99.64	$99.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $46.32 / $67.91	Professional	26	$37.46	$46.32	$67.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.36 / $46.36 / $46.36	Professional	TC	$46.36	$46.36	$46.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $228.69 / $228.69	Professional		$228.69	$228.69	$228.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $211.43 / $513.00	Professional		$118.06	$211.43	$513.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $78.67 / $234.00	Professional	26	$44.53	$78.67	$234.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.81 / $118.11 / $279.00	Professional	TC	$69.81	$118.11	$279.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.90 / $102.90 / $102.90	Facility	26	$102.90	$102.90	$102.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $249.10 / $3,000.00	Professional		$131.01	$249.10	$3,000.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.81 / $98.59 / $870.13	Professional	26	$50.81	$98.59	$870.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $80.20 / $152.36 / $870.13	Professional	TC	$80.20	$152.36	$870.13
United Facility/Professional Professional Modifier Low / Median / High Price $122.67 / $203.91 / $299.66	Professional		$122.67	$203.91	$299.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.50 / $76.48 / $118.31	Professional	26	$48.50	$76.48	$118.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $130.35 / $182.55	Professional	TC	$75.86	$130.35	$182.55