Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.06 / $81.01 / $216.37	Facility	26	$71.06	$81.01	$216.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $232.72 / $429.12	Professional		$161.91	$232.72	$429.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $56.89 / $155.43	Professional	26	$48.57	$56.89	$155.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.00 / $184.15 / $302.37	Professional	TC	$105.00	$184.15	$302.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Professional		$125.77	$125.77	$125.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $71.20 / $73.45	Professional	26	$40.47	$71.20	$73.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.78 / $50.78 / $50.78	Professional	TC	$50.78	$50.78	$50.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $169.78 / $212.23	Professional		$148.56	$169.78	$212.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.47 / $53.11 / $66.39	Professional	26	$46.47	$53.11	$66.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.09 / $116.67 / $145.84	Professional	TC	$102.09	$116.67	$145.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Facility	26	$61.34	$61.34	$61.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $250.00 / $414.88	Professional		$124.05	$250.00	$414.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $65.22 / $114.07	Professional	26	$38.79	$65.22	$114.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.86 / $177.93 / $297.18	Professional	TC	$81.86	$177.93	$297.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $245.76 / $1,547.04	Professional		$140.80	$245.76	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $54.86 / $363.24	Professional	26	$46.39	$54.86	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $91.72 / $190.99 / $1,263.33	Professional	TC	$91.72	$190.99	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $204.84 / $352.84	Professional		$139.71	$204.84	$352.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $49.08 / $103.69	Professional	26	$46.39	$49.08	$103.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.60 / $158.26 / $239.43	Professional	TC	$90.60	$158.26	$239.43