Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.28 / $146.63 / $175.22	Facility	26	$110.28	$146.63	$175.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.61 / $589.26 / $792.31	Professional		$529.61	$589.26	$792.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.16 / $120.73 / $160.47	Professional	26	$110.16	$120.73	$160.47
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $237.93 / $289.89 / $381.18	Professional	52	$237.93	$289.89	$381.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $419.32 / $472.69 / $638.49	Professional	TC	$419.32	$472.69	$638.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.02 / $135.78 / $240.67	Professional	26	$113.02	$135.78	$240.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $565.25 / $776.17	Professional		$117.25	$565.25	$776.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $784.63 / $1,095.71	Professional		$600.00	$784.63	$1,095.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.68 / $162.72 / $249.60	Professional	26	$116.68	$162.72	$249.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.00 / $615.76 / $831.08	Professional	TC	$455.00	$615.76	$831.08
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 $532.66 / $807.43 / $6,200.00	Professional		$532.66	$807.43	$6,200.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $105.84 / $177.63 / $2,600.00	Professional	26	$105.84	$177.63	$2,600.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $422.10 / $672.00 / $7,000.00	Professional	TC	$422.10	$672.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.94 / $656.54 / $1,128.36	Professional		$527.94	$656.54	$1,128.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.84 / $143.19 / $238.19	Professional	26	$105.84	$143.19	$238.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $422.10 / $548.92 / $923.91	Professional	TC	$422.10	$548.92	$923.91