Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.43 / $176.50 / $198.76	Facility	26	$108.43	$176.50	$198.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $480.52 / $839.68	Professional		$475.00	$480.52	$839.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $138.60 / $210.05	Professional	26	$111.15	$138.60	$210.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $362.20 / $629.62	Professional	TC	$335.00	$362.20	$629.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.86 / $89.86 / $89.86	Professional	26	$89.86	$89.86	$89.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.92 / $595.92 / $595.92	Professional		$595.92	$595.92	$595.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.47 / $557.32 / $827.00	Professional		$282.47	$557.32	$827.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.67 / $123.75 / $159.65	Professional	26	$71.67	$123.75	$159.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.72 / $431.91 / $710.47	Professional	TC	$235.72	$431.91	$710.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $615.67 / $789.92 / $789.92	Facility	26	$615.67	$789.92	$789.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.63 / $600.57 / $3,007.15	Professional		$403.63	$600.57	$3,007.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.80 / $111.35 / $848.54	Professional	26	$81.80	$111.35	$848.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $309.77 / $483.88 / $2,544.17	Professional	TC	$309.77	$483.88	$2,544.17
United Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $541.62 / $739.56	Professional		$387.97	$541.62	$739.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.80 / $100.44 / $155.22	Professional	26	$81.80	$100.44	$155.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.86 / $434.91 / $566.92	Professional	TC	$295.86	$434.91	$566.92