Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $224.28 / $280.32 / $412.31	Facility	26	$224.28	$280.32	$412.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.14 / $720.28 / $1,239.63	Professional		$554.14	$720.28	$1,239.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.42 / $124.35 / $558.00	Professional	26	$107.42	$124.35	$558.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $246.22 / $303.10 / $403.57	Professional	52	$246.22	$303.10	$403.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $442.08 / $568.95 / $932.57	Professional	TC	$442.08	$568.95	$932.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $594.30 / $594.30 / $962.13	Professional		$594.30	$594.30	$962.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.03 / $189.12 / $192.27	Professional	26	$100.03	$189.12	$192.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.43 / $572.57 / $715.71	Professional		$429.43	$572.57	$715.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.40 / $105.87 / $132.34	Professional	26	$79.40	$105.87	$132.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $350.02 / $466.70 / $583.37	Professional	TC	$350.02	$466.70	$583.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.97 / $133.97 / $133.97	Facility	26	$133.97	$133.97	$133.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.54 / $887.80 / $1,470.38	Professional		$594.54	$887.80	$1,470.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.15 / $176.33 / $311.27	Professional	26	$115.15	$176.33	$311.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $476.77 / $707.30 / $1,145.60	Professional	TC	$476.77	$707.30	$1,145.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $275.57 / $701.13 / $701.13	Facility	26	$275.57	$701.13	$701.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.63 / $809.02 / $6,200.00	Professional		$564.63	$809.02	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.27 / $172.42 / $2,600.00	Professional	26	$107.27	$172.42	$2,600.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $454.08 / $652.91 / $7,000.00	Professional	TC	$454.08	$652.91	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.16 / $745.15 / $1,319.98	Professional		$564.16	$745.15	$1,319.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.95 / $150.85 / $277.88	Professional	26	$106.95	$150.85	$277.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $446.58 / $580.65 / $995.39	Professional	TC	$446.58	$580.65	$995.39