Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $218.78 / $275.42	Facility	26	$74.13	$218.78	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $794.33	Professional		$138.04	$234.42	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $93.33 / $208.93	Professional	26	$52.48	$93.33	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $131.83 / $338.84	Professional	TC	$79.43	$131.83	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $239.88	Professional		$91.20	$102.33	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $45.71 / $66.07	Professional	26	$41.69	$45.71	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $138.04 / $144.54	Professional	TC	$138.04	$138.04	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $309.03	Professional		$134.90	$173.78	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $112.20	Professional	26	$48.98	$63.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $194.98	Professional	TC	$87.10	$112.20	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $64.57 / $91.20	Facility	26	$13.80	$64.57	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $416.87	Professional		$114.82	$208.93	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $120.23	Professional	26	$43.65	$66.07	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $144.54 / $263.03	Professional	TC	$69.18	$144.54	$263.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $524.81 / $524.81	Facility	26	$407.38	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $1,548.82	Professional		$128.82	$234.42	$1,548.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $389.05	Professional	26	$48.98	$58.88	$389.05
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $158.49 / $1,659.59	Professional	TC	$77.62	$158.49	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $51.29 / $95.50	Professional	26	$48.98	$51.29	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $128.82 / $223.87	Professional	TC	$77.62	$128.82	$223.87