Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.78 / $201.05 / $417.74	Facility	26	$125.78	$201.05	$417.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.39 / $512.36 / $990.55	Professional		$380.39	$512.36	$990.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.96 / $116.88 / $377.75	Professional	26	$86.96	$116.88	$377.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $275.27 / $421.11 / $657.20	Professional	TC	$275.27	$421.11	$657.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.73 / $366.01 / $512.41	Professional		$336.73	$366.01	$512.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.23 / $119.71 / $142.91	Professional	26	$79.23	$119.71	$142.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.67 / $440.77 / $550.96	Professional		$385.67	$440.77	$550.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.50 / $103.42 / $129.28	Professional	26	$90.50	$103.42	$129.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.18 / $337.34 / $421.68	Professional	TC	$295.18	$337.34	$421.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.52 / $118.52 / $118.52	Facility	26	$118.52	$118.52	$118.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $585.62 / $934.54	Professional		$300.00	$585.62	$934.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.59 / $129.13 / $214.17	Professional	26	$75.59	$129.13	$214.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.30 / $427.15 / $743.60	Professional	TC	$223.30	$427.15	$743.60
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $969.20 / $969.20 / $969.20	Facility	26	$969.20	$969.20	$969.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.71 / $532.11 / $2,573.48	Professional		$349.71	$532.11	$2,573.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.70 / $102.88 / $653.20	Professional	26	$89.70	$102.88	$653.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $254.61 / $424.94 / $2,038.19	Professional	TC	$254.61	$424.94	$2,038.19
United Facility/Professional Professional Modifier Low / Median / High Price $341.62 / $493.70 / $880.74	Professional		$341.62	$493.70	$880.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.70 / $99.85 / $223.20	Professional	26	$89.70	$99.85	$223.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.61 / $388.26 / $663.09	Professional	TC	$252.61	$388.26	$663.09