Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.65 / $101.75 / $139.91	Facility	26	$84.65	$101.75	$139.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $361.79 / $446.28	Professional		$237.75	$361.79	$446.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $81.59 / $102.39	Professional	26	$61.81	$81.59	$102.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $260.04 / $407.87	Professional	TC	$171.94	$260.04	$407.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $187.63 / $381.53	Professional		$187.63	$187.63	$381.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.79 / $49.31 / $70.14	Professional	26	$48.79	$49.31	$70.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.71 / $480.71 / $480.71	Professional		$480.71	$480.71	$480.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $410.96 / $674.00	Professional		$216.06	$410.96	$674.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.07 / $94.10 / $185.00	Professional	26	$56.07	$94.10	$185.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.60 / $321.07 / $545.67	Professional	TC	$164.60	$321.07	$545.67
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $478.24 / $619.20 / $619.20	Facility	26	$478.24	$619.20	$619.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $453.28 / $2,385.40	Professional		$292.45	$453.28	$2,385.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $97.99 / $533.30	Professional	26	$63.48	$97.99	$533.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $216.62 / $366.98 / $2,603.00	Professional	TC	$216.62	$366.98	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $410.60 / $532.44	Professional		$283.30	$410.60	$532.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.48 / $78.29 / $123.62	Professional	26	$63.48	$78.29	$123.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.48 / $304.12 / $405.62	Professional	TC	$211.48	$304.12	$405.62