Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.34 / $107.86 / $129.01	Facility	26	$75.34	$107.86	$129.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $377.00 / $555.73	Professional		$250.00	$377.00	$555.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $81.67 / $140.00	Professional	26	$62.50	$81.67	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $270.04 / $425.63	Professional	TC	$187.50	$270.04	$425.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.97 / $467.97 / $467.97	Professional		$467.97	$467.97	$467.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $121.56 / $121.56 / $128.11	Professional	26	$121.56	$121.56	$128.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $330.40 / $453.69	Professional		$82.57	$330.40	$453.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $119.34	Facility	26	$74.48	$74.48	$119.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $432.48 / $681.73	Professional		$268.08	$432.48	$681.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.12 / $76.75 / $129.26	Professional	26	$67.12	$76.75	$129.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.41 / $348.81 / $564.00	Professional	TC	$199.41	$348.81	$564.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $558.79 / $720.40 / $720.40	Facility	26	$558.79	$720.40	$720.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $446.50 / $3,348.15	Professional		$321.95	$446.50	$3,348.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $88.15 / $597.70	Professional	26	$66.03	$88.15	$597.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $250.86 / $423.89 / $2,941.88	Professional	TC	$250.86	$423.89	$2,941.88
United Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $391.87 / $736.34	Professional		$323.70	$391.87	$736.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.03 / $83.73 / $135.83	Professional	26	$66.03	$83.73	$135.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.86 / $302.98 / $570.64	Professional	TC	$250.86	$302.98	$570.64