Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.54 / $88.84 / $132.01	Facility	26	$73.54	$88.84	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $288.30 / $351.08	Professional		$229.39	$288.30	$351.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $71.23 / $89.41	Professional	26	$52.46	$71.23	$89.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $214.05 / $290.93	Professional	TC	$171.94	$214.05	$290.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.58 / $42.58 / $42.58	Professional	26	$42.58	$42.58	$42.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.00 / $461.00 / $461.00	Professional		$461.00	$461.00	$461.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.32 / $401.53 / $659.00	Professional		$211.32	$401.53	$659.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $82.15 / $171.00	Professional	26	$48.82	$82.15	$171.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.66 / $304.24 / $507.09	Professional	TC	$169.66	$304.24	$507.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $537.20 / $537.20	Facility	26	$417.20	$537.20	$537.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $417.29 / $2,195.67	Professional		$285.13	$417.29	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $85.19 / $439.20	Professional	26	$54.88	$85.19	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $219.20 / $340.10 / $1,890.23	Professional	TC	$219.20	$340.10	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $387.48 / $519.08	Professional		$276.45	$387.48	$519.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.88 / $74.08 / $144.93	Professional	26	$54.88	$74.08	$144.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.01 / $320.81 / $404.67	Professional	TC	$214.01	$320.81	$404.67