Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $169.82 / $380.19	Facility	26	$125.89	$169.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $407.38	Professional		$218.78	$281.84	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $194.98	Professional	26	$69.18	$93.33	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $281.84	Professional	TC	$141.25	$181.97	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $61.66 / $138.04	Professional	26	$60.26	$61.66	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $524.81	Professional		$208.93	$338.84	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $107.15 / $154.88	Professional	26	$69.18	$107.15	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $380.19	Professional	TC	$134.90	$223.87	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $588.84 / $588.84 / $776.25	Facility	26	$588.84	$588.84	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $1,513.56	Professional		$245.47	$338.84	$1,513.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $524.81	Professional	26	$79.43	$107.15	$524.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $234.42 / $1,000.00	Professional	TC	$158.49	$234.42	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $457.09	Professional		$251.19	$302.00	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $93.33 / $151.36	Professional	26	$83.18	$93.33	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $208.93 / $309.03	Professional	TC	$165.96	$208.93	$309.03