Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.32 / $204.00 / $254.98	Facility	26	$84.32	$204.00	$254.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $330.93 / $559.05	Professional		$184.87	$330.93	$559.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $71.18 / $93.87	Professional	26	$55.00	$71.18	$93.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.95 / $239.94 / $473.68	Professional	TC	$123.95	$239.94	$473.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $147.40 / $163.13	Professional		$121.39	$147.40	$163.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $46.09 / $68.98	Professional	26	$45.32	$46.09	$68.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.13 / $211.58 / $264.47	Professional		$185.13	$211.58	$264.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.02 / $59.45 / $74.31	Professional	26	$52.02	$59.45	$74.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.11 / $152.13 / $190.16	Professional	TC	$133.11	$152.13	$190.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $331.36 / $558.09	Professional		$160.24	$331.36	$558.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $78.53 / $130.63	Professional	26	$44.46	$78.53	$130.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.03 / $248.70 / $417.63	Professional	TC	$108.03	$248.70	$417.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $561.91 / $561.91 / $561.91	Facility	26	$561.91	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $343.04 / $2,075.08	Professional		$175.77	$343.04	$2,075.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.22 / $64.80 / $460.66	Professional	26	$55.22	$64.80	$460.66
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $285.38 / $1,685.33	Professional	TC	$120.55	$285.38	$1,685.33
United Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $285.14 / $444.60	Professional		$175.60	$285.14	$444.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.09 / $60.07 / $119.12	Professional	26	$55.09	$60.07	$119.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.55 / $251.70 / $317.16	Professional	TC	$120.55	$251.70	$317.16