Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.04 / $81.50 / $125.19	Facility	26	$70.04	$81.50	$125.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.39 / $280.72 / $346.35	Professional		$226.39	$280.72	$346.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $67.92 / $85.17	Professional	26	$52.85	$67.92	$85.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $213.65 / $261.18	Professional	TC	$171.62	$213.65	$261.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $163.93 / $163.93	Professional		$163.93	$163.93	$163.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.56 / $40.61 / $58.31	Professional	26	$40.56	$40.61	$58.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.10 / $407.10 / $407.10	Professional		$407.10	$407.10	$407.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $337.38 / $534.00	Professional		$186.14	$337.38	$534.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.61 / $78.31 / $136.00	Professional	26	$46.61	$78.31	$136.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.47 / $268.55 / $398.00	Professional	TC	$145.47	$268.55	$398.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $514.88 / $514.88	Facility	26	$397.76	$514.88	$514.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $363.90 / $1,817.09	Professional		$253.61	$363.90	$1,817.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $80.76 / $364.90	Professional	26	$52.72	$80.76	$364.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $191.11 / $277.55 / $1,526.12	Professional	TC	$191.11	$277.55	$1,526.12
United Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $320.88 / $436.21	Professional		$245.77	$320.88	$436.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.72 / $68.17 / $102.77	Professional	26	$52.72	$68.17	$102.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $252.31 / $353.03	Professional	TC	$186.58	$252.31	$353.03