Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $83.18 / $363.08	Facility	26	$74.13	$83.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $407.38	Professional		$186.21	$257.04	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $147.91	Professional	26	$51.29	$70.79	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $177.83 / $323.59	Professional	TC	$128.82	$177.83	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $54.95 / $102.33	Professional	26	$43.65	$54.95	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $173.78 / $204.17	Professional	TC	$102.33	$173.78	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $199.53 / $275.42	Professional		$58.88	$199.53	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $102.33	Facility	26	$63.10	$63.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $489.78	Professional		$190.55	$316.23	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $67.61 / $120.23	Professional	26	$52.48	$67.61	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $245.47 / $380.19	Professional	TC	$134.90	$245.47	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $549.54 / $549.54	Facility	26	$426.58	$549.54	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $2,344.23	Professional		$199.53	$302.00	$2,344.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $537.03	Professional	26	$56.23	$75.86	$537.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $1,995.26	Professional	TC	$144.54	$245.47	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $524.81	Professional		$199.53	$257.04	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $102.33	Professional	26	$56.23	$70.79	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $416.87	Professional	TC	$141.25	$181.97	$416.87