Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $77.62 / $199.53	Facility	26	$69.18	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $162.18 / $302.00	Professional		$47.86	$162.18	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $114.82	Professional	26	$43.65	$63.10	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $138.04 / $245.47	Professional	TC	$100.00	$138.04	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $144.54	Professional		$114.82	$117.49	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $74.13	Professional	26	$34.67	$46.77	$74.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $426.58	Professional		$134.90	$251.19	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $66.07 / $128.82	Professional	26	$40.74	$66.07	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $186.21 / $323.59	Professional	TC	$104.71	$186.21	$323.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $338.84 / $446.68 / $446.68	Facility	26	$338.84	$446.68	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $1,380.38	Professional		$177.83	$269.15	$1,380.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $67.61 / $302.00	Professional	26	$48.98	$67.61	$302.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $204.17 / $1,096.48	Professional	TC	$125.89	$204.17	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $338.84	Professional		$177.83	$245.47	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $56.23 / $91.20	Professional	26	$48.98	$56.23	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $186.21 / $245.47	Professional	TC	$125.89	$186.21	$245.47