Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.56 / $92.79 / $138.06	Facility	26	$76.56	$92.79	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $280.25 / $342.37	Professional		$200.76	$280.25	$342.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $74.53 / $93.37	Professional	26	$54.56	$74.53	$93.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.65 / $212.63 / $287.81	Professional	TC	$140.65	$212.63	$287.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $44.25 / $44.25	Professional	26	$44.25	$44.25	$44.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.82 / $447.82 / $447.82	Professional		$447.82	$447.82	$447.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $354.34 / $613.00	Professional		$165.87	$354.34	$613.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.76 / $85.96 / $113.30	Professional	26	$50.76	$85.96	$113.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.18 / $247.87 / $508.00	Professional	TC	$127.18	$247.87	$508.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $561.91 / $561.91	Facility	26	$434.48	$561.91	$561.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $405.99 / $2,293.84	Professional		$240.48	$405.99	$2,293.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $88.15 / $523.40	Professional	26	$57.77	$88.15	$523.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $172.26 / $337.91 / $2,412.00	Professional	TC	$172.26	$337.91	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $349.17 / $489.47	Professional		$232.78	$349.17	$489.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.77 / $71.06 / $112.12	Professional	26	$57.77	$71.06	$112.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $172.26 / $311.60 / $431.27	Professional	TC	$172.26	$311.60	$431.27