Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.79 / $127.76 / $172.51	Facility	26	$105.79	$127.76	$172.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $385.88 / $446.12	Professional		$254.43	$385.88	$446.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.65 / $102.69 / $153.61	Professional	26	$75.65	$102.69	$153.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $259.33 / $380.79	Professional	TC	$171.62	$259.33	$380.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $200.62 / $285.11	Professional		$200.62	$200.62	$285.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.17 / $61.86 / $87.94	Professional	26	$61.17	$61.86	$87.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.21 / $440.37 / $825.25	Professional		$231.21	$440.37	$825.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.02 / $113.02 / $155.97	Professional	26	$70.02	$113.02	$155.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.76 / $344.87 / $618.00	Professional	TC	$171.76	$344.87	$618.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $600.40 / $773.84 / $773.84	Facility	26	$600.40	$773.84	$773.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $572.21 / $3,234.12	Professional		$311.50	$572.21	$3,234.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.63 / $122.13 / $559.72	Professional	26	$79.63	$122.13	$559.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.98 / $492.58 / $2,749.60	Professional	TC	$216.98	$492.58	$2,749.60
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $478.83 / $654.97	Professional		$301.35	$478.83	$654.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.63 / $98.45 / $154.51	Professional	26	$79.63	$98.45	$154.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.98 / $360.15 / $544.44	Professional	TC	$216.98	$360.15	$544.44