Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.97 / $201.44 / $269.16	Facility	26	$154.97	$201.44	$269.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.00 / $475.00 / $802.01	Professional		$392.00	$475.00	$802.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $168.21 / $269.16	Professional	26	$140.00	$168.21	$269.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $306.64 / $351.25 / $532.84	Professional	TC	$306.64	$351.25	$532.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $352.82 / $352.82	Professional		$232.88	$352.82	$352.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.53 / $82.96 / $115.77	Professional	26	$80.53	$82.96	$115.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $152.34 / $247.56 / $247.56	Professional	TC	$152.34	$247.56	$247.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $558.82 / $1,641.00	Professional		$269.69	$558.82	$1,641.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.10 / $155.74 / $212.00	Professional	26	$95.10	$155.74	$212.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.67 / $390.53 / $1,429.00	Professional	TC	$199.67	$390.53	$1,429.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.00 / $1,016.96 / $1,016.96	Facility	26	$794.00	$1,016.96	$1,016.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $865.03 / $6,195.24	Professional		$387.04	$865.03	$6,195.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $116.21 / $167.45 / $931.20	Professional	26	$116.21	$167.45	$931.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $263.19 / $748.82 / $5,551.18	Professional	TC	$263.19	$748.82	$5,551.18
United Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $705.50 / $1,258.97	Professional		$374.25	$705.50	$1,258.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.21 / $135.08 / $222.65	Professional	26	$116.21	$135.08	$222.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.95 / $436.83 / $923.66	Professional	TC	$256.95	$436.83	$923.66