Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.03 / $216.12 / $293.41	Facility	26	$97.03	$216.12	$293.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $475.00 / $669.75	Professional		$305.81	$475.00	$669.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $140.00 / $289.50	Professional	26	$73.00	$140.00	$289.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.65 / $335.00 / $459.50	Professional	TC	$233.65	$335.00	$459.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $322.16 / $322.16	Professional		$296.39	$322.16	$322.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $52.43 / $157.30	Professional	26	$52.43	$52.43	$157.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $366.74 / $458.42	Professional		$320.89	$366.74	$458.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.19 / $68.79 / $85.99	Professional	26	$60.19	$68.79	$85.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.70 / $297.94 / $372.43	Professional	TC	$260.70	$297.94	$372.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $551.28 / $856.31	Professional		$290.20	$551.28	$856.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $85.74 / $147.16	Professional	26	$50.64	$85.74	$147.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.14 / $471.79 / $729.39	Professional	TC	$236.14	$471.79	$729.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $647.12 / $647.12 / $647.12	Facility	26	$647.12	$647.12	$647.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $509.89 / $3,077.22	Professional		$342.35	$509.89	$3,077.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $69.92 / $680.25	Professional	26	$59.27	$69.92	$680.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $278.54 / $450.62 / $2,677.57	Professional	TC	$278.54	$450.62	$2,677.57
United Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $473.58 / $851.24	Professional		$342.35	$473.58	$851.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.27 / $63.81 / $132.47	Professional	26	$59.27	$63.81	$132.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.54 / $393.76 / $671.52	Professional	TC	$278.54	$393.76	$671.52