Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $144.54 / $363.08	Facility	26	$125.89	$144.54	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $575.44	Professional		$245.47	$346.74	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $97.72 / $213.80	Professional	26	$79.43	$97.72	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $229.09 / $446.68	Professional	TC	$162.18	$229.09	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $288.40	Professional		$199.53	$229.09	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $67.61 / $125.89	Professional	26	$63.10	$67.61	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $134.90 / $208.93	Professional	TC	$134.90	$134.90	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $851.14	Professional		$234.42	$446.68	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $112.20 / $165.96	Professional	26	$75.86	$112.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $316.23 / $645.65	Professional	TC	$173.78	$316.23	$645.65
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $630.96 / $630.96 / $812.83	Facility	26	$630.96	$630.96	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $3,162.28	Professional		$302.00	$512.86	$3,162.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $120.23 / $1,000.00	Professional	26	$87.10	$120.23	$1,000.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $407.38 / $2,691.53	Professional	TC	$208.93	$407.38	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $660.69	Professional		$302.00	$457.09	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $104.71 / $162.18	Professional	26	$87.10	$104.71	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $316.23 / $501.19	Professional	TC	$208.93	$316.23	$501.19