Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $181.97 / $229.09	Facility	26	$114.82	$181.97	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,230.27	Professional		$575.44	$707.95	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $138.04 / $309.03	Professional	26	$114.82	$138.04	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $204.17 / $549.54 / $1,258.93	Professional	52	$204.17	$549.54	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $549.54 / $794.33	Professional	TC	$457.09	$549.54	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $812.83	Professional		$467.74	$549.54	$812.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $138.04 / $147.91	Professional	26	$107.15	$138.04	$147.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $588.84 / $812.83	Professional		$123.03	$588.84	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,202.26	Professional		$645.65	$851.14	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $181.97 / $275.42	Professional	26	$131.83	$181.97	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $691.83 / $912.01	Professional	TC	$501.19	$691.83	$912.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $758.58 / $758.58	Facility	26	$288.40	$758.58	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $6,165.95	Professional		$549.54	$831.76	$6,165.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $181.97 / $1,071.52	Professional	26	$107.15	$181.97	$1,071.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $676.08 / $3,890.45	Professional	TC	$426.58	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,174.90	Professional		$524.81	$707.95	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $234.42	Professional	26	$104.71	$141.25	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $575.44 / $933.25	Professional	TC	$416.87	$575.44	$933.25