Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.74 / $259.26 / $345.65	Facility	26	$119.74	$259.26	$345.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.23 / $438.48 / $693.68	Professional		$261.23	$438.48	$693.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.37 / $96.08 / $204.38	Professional	26	$78.37	$96.08	$204.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.38 / $310.24 / $492.69	Professional	TC	$173.38	$310.24	$492.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $231.06 / $231.06	Professional		$231.06	$231.06	$231.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.48 / $114.55 / $195.49	Professional	26	$66.48	$114.55	$195.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.45 / $304.52 / $380.65	Professional		$266.45	$304.52	$380.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.76 / $85.44 / $106.80	Professional	26	$74.76	$85.44	$106.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.70 / $219.08 / $273.85	Professional	TC	$191.70	$219.08	$273.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.06 / $98.06 / $98.06	Facility	26	$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $462.51 / $717.09	Professional		$258.52	$462.51	$717.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.64 / $105.25 / $183.60	Professional	26	$62.64	$105.25	$183.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.24 / $345.06 / $584.85	Professional	TC	$186.24	$345.06	$584.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $801.92 / $801.92 / $801.92	Facility	26	$801.92	$801.92	$801.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $470.27 / $3,101.53	Professional		$279.16	$470.27	$3,101.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $91.20 / $660.44	Professional	26	$77.31	$91.20	$660.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $200.32 / $369.28 / $2,625.91	Professional	TC	$200.32	$369.28	$2,625.91
United Facility/Professional Professional Modifier Low / Median / High Price $275.37 / $415.46 / $700.80	Professional		$275.37	$415.46	$700.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $82.78 / $172.80	Professional	26	$77.31	$82.78	$172.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.32 / $331.54 / $506.69	Professional	TC	$200.32	$331.54	$506.69