Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.07 / $65.73 / $319.72	Facility	26	$56.07	$65.73	$319.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $248.27 / $343.39	Professional		$171.00	$248.27	$343.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $61.07 / $77.81	Professional	26	$51.30	$61.07	$77.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $187.20 / $290.93	Professional	TC	$119.70	$187.20	$290.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $42.77 / $72.17	Professional	26	$42.77	$42.77	$72.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $254.45 / $349.40	Professional		$57.75	$254.45	$349.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $55.98 / $89.86	Facility	26	$55.98	$55.98	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $309.83 / $480.24	Professional		$212.55	$309.83	$480.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.98 / $57.28 / $96.48	Professional	26	$49.98	$57.28	$96.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.77 / $247.35 / $392.39	Professional	TC	$161.77	$247.35	$392.39
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 $237.56 / $344.61 / $2,195.67	Professional		$237.56	$344.61	$2,195.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $65.79 / $439.20	Professional	26	$49.28	$65.79	$439.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.27 / $302.08 / $1,890.23	Professional	TC	$177.27	$302.08	$1,890.23
United Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $284.74 / $508.76	Professional		$235.14	$284.74	$508.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.28 / $62.44 / $119.82	Professional	26	$49.28	$62.44	$119.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.08 / $216.35 / $410.69	Professional	TC	$175.08	$216.35	$410.69