Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $121.95 / $146.16 / $196.92	Facility	26	$121.95	$146.16	$196.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.12 / $434.02 / $563.83	Professional		$347.12	$434.02	$563.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.59 / $117.22 / $176.50	Professional	26	$89.59	$117.22	$176.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.59 / $314.38 / $444.94	Professional	TC	$252.59	$314.38	$444.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $255.28 / $566.34	Professional		$244.90	$255.28	$566.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.29 / $70.54 / $101.04	Professional	26	$70.29	$70.54	$101.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $174.61 / $283.75 / $283.75	Professional	TC	$174.61	$283.75	$283.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $665.00 / $665.00	Professional		$665.00	$665.00	$665.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $516.16 / $700.49	Professional		$302.14	$516.16	$700.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.20 / $126.62 / $179.18	Professional	26	$79.20	$126.62	$179.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.08 / $373.01 / $537.71	Professional	TC	$215.08	$373.01	$537.71
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $690.96 / $887.84 / $887.84	Facility	26	$690.96	$887.84	$887.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $506.52 / $2,326.86	Professional		$385.85	$506.52	$2,326.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $103.13 / $130.13 / $600.70	Professional	26	$103.13	$130.13	$600.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $277.62 / $379.43 / $2,909.00	Professional	TC	$277.62	$379.43	$2,909.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $448.24 / $648.49	Professional		$373.53	$448.24	$648.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.49 / $118.06 / $177.30	Professional	26	$102.49	$118.06	$177.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.04 / $358.72 / $481.51	Professional	TC	$271.04	$358.72	$481.51