Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.23 / $101.94 / $132.77	Facility	26	$72.23	$101.94	$132.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.35 / $378.78 / $564.79	Professional		$323.35	$378.78	$564.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.03 / $94.46 / $140.53	Professional	26	$79.03	$94.46	$140.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $244.32 / $286.20 / $424.26	Professional	TC	$244.32	$286.20	$424.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.13 / $60.13 / $60.13	Professional	26	$60.13	$60.13	$60.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $505.12 / $505.12	Professional		$505.12	$505.12	$505.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.56 / $414.62 / $742.00	Professional		$190.56	$414.62	$742.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.70 / $82.54 / $107.06	Professional	26	$47.70	$82.54	$107.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.04 / $326.08 / $643.00	Professional	TC	$158.04	$326.08	$643.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $530.79 / $530.79	Facility	26	$409.92	$530.79	$530.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.47 / $537.76 / $2,955.62	Professional		$268.47	$537.76	$2,955.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $74.01 / $596.05	Professional	26	$54.52	$74.01	$596.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $203.69 / $483.24 / $2,626.86	Professional	TC	$203.69	$483.24	$2,626.86
United Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $416.34 / $647.11	Professional		$256.41	$416.34	$647.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $64.78 / $104.30	Professional	26	$54.52	$64.78	$104.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.89 / $298.29 / $566.92	Professional	TC	$192.89	$298.29	$566.92