Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.51 / $281.83 / $410.94	Facility	26	$141.51	$281.83	$410.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.00 / $475.00 / $1,397.83	Professional		$322.00	$475.00	$1,397.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $140.00 / $468.00	Professional	26	$85.00	$140.00	$468.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.85 / $335.00 / $467.61	Professional	TC	$245.85	$335.00	$467.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $298.45 / $1,354.83	Professional		$234.70	$298.45	$1,354.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $117.83 / $180.21	Professional	26	$77.61	$117.83	$180.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $388.57 / $485.71	Professional		$340.00	$388.57	$485.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.06 / $101.78 / $127.61	Professional	26	$89.06	$101.78	$127.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.94 / $286.77 / $358.48	Professional	TC	$250.94	$286.77	$358.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.17 / $116.17 / $116.17	Facility	26	$116.17	$116.17	$116.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.32 / $712.45 / $1,287.16	Professional		$281.32	$712.45	$1,287.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.66 / $122.74 / $217.63	Professional	26	$73.66	$122.74	$217.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $206.38 / $516.38 / $1,040.57	Professional	TC	$206.38	$516.38	$1,040.57
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $950.80 / $950.80 / $950.80	Facility	26	$950.80	$950.80	$950.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $723.80 / $5,978.92	Professional		$336.82	$723.80	$5,978.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $104.50 / $733.09	Professional	26	$87.29	$104.50	$733.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $243.87 / $614.19 / $5,438.76	Professional	TC	$243.87	$614.19	$5,438.76
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $564.37 / $918.44	Professional		$336.82	$564.37	$918.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.29 / $93.19 / $199.55	Professional	26	$87.29	$93.19	$199.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $243.87 / $421.35 / $824.26	Professional	TC	$243.87	$421.35	$824.26