Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.89 / $90.96 / $200.92	Facility	26	$56.89	$90.96	$200.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $231.53 / $512.71	Professional		$145.08	$231.53	$512.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $52.10 / $136.04	Professional	26	$44.14	$52.10	$136.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.68 / $177.61 / $291.63	Professional	TC	$101.68	$177.61	$291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $114.88 / $129.86	Professional		$109.51	$114.88	$129.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.65 / $44.81 / $86.89	Professional	26	$35.65	$44.81	$86.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $44.04 / $44.04	Professional	TC	$44.04	$44.04	$44.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $147.96 / $184.95	Professional		$129.47	$147.96	$184.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.61 / $46.78 / $58.48	Professional	26	$45.61	$46.78	$58.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.53 / $101.18 / $126.47	Professional	TC	$88.53	$101.18	$126.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $242.62 / $389.31	Professional		$112.44	$242.62	$389.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.63 / $63.17 / $103.18	Professional	26	$34.63	$63.17	$103.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.76 / $177.93 / $296.55	Professional	TC	$72.76	$177.93	$296.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $442.24 / $442.24 / $442.24	Facility	26	$442.24	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $249.30 / $1,609.32	Professional		$133.75	$249.30	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $51.25 / $379.76	Professional	26	$41.66	$51.25	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $191.60 / $1,345.00	Professional	TC	$90.19	$191.60	$1,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $203.33 / $338.30	Professional		$133.75	$203.33	$338.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $47.41 / $93.99	Professional	26	$41.66	$47.41	$93.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $158.26 / $236.82	Professional	TC	$90.19	$158.26	$236.82