Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.99 / $218.25 / $296.30	Facility	26	$97.99	$218.25	$296.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $475.00 / $725.61	Professional		$272.08	$475.00	$725.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $126.00 / $154.00	Professional	26	$67.90	$126.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $370.63	Professional	TC	$187.50	$335.00	$370.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $231.99 / $231.99	Professional		$197.53	$231.99	$231.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $304.10 / $380.13	Professional		$266.08	$304.10	$380.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $69.13 / $86.41	Professional	26	$60.49	$69.13	$86.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $205.60 / $234.98 / $293.72	Professional	TC	$205.60	$234.98	$293.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.55 / $479.18 / $760.50	Professional		$225.55	$479.18	$760.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $86.95 / $149.25	Professional	26	$51.39	$86.95	$149.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.34 / $376.20 / $592.09	Professional	TC	$171.34	$376.20	$592.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $653.60 / $653.60 / $653.60	Facility	26	$653.60	$653.60	$653.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $447.72 / $2,872.81	Professional		$266.27	$447.72	$2,872.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $71.06 / $548.98	Professional	26	$60.23	$71.06	$548.98
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $201.85 / $369.41 / $2,498.98	Professional	TC	$201.85	$369.41	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $375.91 / $670.60	Professional		$266.27	$375.91	$670.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.23 / $64.42 / $136.50	Professional	26	$60.23	$64.42	$136.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.85 / $291.92 / $505.81	Professional	TC	$201.85	$291.92	$505.81