Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $186.21 / $257.04	Facility	26	$79.43	$186.21	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $812.83	Professional		$173.78	$295.12	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $234.42	Professional	26	$52.48	$93.33	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $213.80 / $489.78	Professional	TC	$123.03	$213.80	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $42.66 / $89.13	Professional	26	$39.81	$42.66	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $416.87	Professional		$181.97	$234.42	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $104.71	Professional	26	$46.77	$60.26	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $173.78 / $309.03	Professional	TC	$134.90	$173.78	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $60.26 / $87.10	Facility	26	$13.18	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $575.44	Professional		$151.36	$295.12	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $72.44 / $134.90	Professional	26	$40.74	$72.44	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $213.80 / $436.52	Professional	TC	$109.65	$213.80	$436.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $501.19 / $501.19	Facility	26	$389.05	$501.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,949.84	Professional		$194.98	$309.03	$1,949.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $562.34	Professional	26	$48.98	$63.10	$562.34
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $251.19 / $1,548.82	Professional	TC	$144.54	$251.19	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $446.68	Professional		$194.98	$295.12	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $60.26 / $100.00	Professional	26	$48.98	$60.26	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $223.87 / $338.84	Professional	TC	$144.54	$223.87	$338.84