Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.51 / $279.44 / $349.28	Facility	26	$115.51	$279.44	$349.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $294.05 / $588.09	Professional		$234.61	$294.05	$588.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $84.87 / $193.17	Professional	26	$69.56	$84.87	$193.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.25 / $205.83 / $282.39	Professional	TC	$147.25	$205.83	$282.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.70 / $228.70 / $228.70	Professional		$228.70	$228.70	$228.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.14 / $63.02 / $186.42	Professional	26	$62.14	$63.02	$186.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $260.72 / $325.89	Professional		$228.13	$260.72	$325.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.34 / $81.54 / $101.93	Professional	26	$71.34	$81.54	$101.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.78 / $179.18 / $223.97	Professional	TC	$156.78	$179.18	$223.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.84 / $93.84 / $93.84	Facility	26	$93.84	$93.84	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $308.49 / $564.91	Professional		$187.76	$308.49	$564.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.74 / $101.42 / $170.94	Professional	26	$59.74	$101.42	$170.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.58 / $208.24 / $387.06	Professional	TC	$123.58	$208.24	$387.06
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $768.32 / $768.32 / $768.32	Facility	26	$768.32	$768.32	$768.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $271.52 / $1,515.48	Professional		$215.04	$271.52	$1,515.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $79.89 / $521.79	Professional	26	$70.56	$79.89	$521.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $195.84 / $993.68	Professional	TC	$139.58	$195.84	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $266.64 / $505.80	Professional		$215.04	$266.64	$505.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.56 / $75.69 / $169.19	Professional	26	$70.56	$75.69	$169.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $195.84 / $349.77	Professional	TC	$139.58	$195.84	$349.77