Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $125.89 / $275.42	Facility	26	$91.20	$125.89	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $426.58	Professional		$204.17	$275.42	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $128.82	Professional	26	$57.54	$72.44	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $194.98 / $346.74	Professional	TC	$147.91	$194.98	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $104.71	Professional	26	$44.67	$44.67	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $630.96	Professional		$177.83	$363.08	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $128.82	Professional	26	$52.48	$87.10	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $275.42 / $489.78	Professional	TC	$141.25	$275.42	$489.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.52 / $562.34 / $562.34	Facility	26	$436.52	$562.34	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $2,238.72	Professional		$251.19	$398.11	$2,238.72
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $89.13 / $588.84	Professional	26	$63.10	$89.13	$588.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $323.59 / $1,819.70	Professional	TC	$186.21	$323.59	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $478.63	Professional		$251.19	$363.08	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $120.23	Professional	26	$63.10	$75.86	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $389.05	Professional	TC	$186.21	$269.15	$389.05