Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $630.96	Facility		$87.10	$208.93	$630.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $30.20 / $162.18	Facility	26	$20.89	$30.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $269.15	Professional		$83.18	$109.65	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $66.07	Professional	26	$20.89	$26.92	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $83.18 / $117.49	Professional	TC	$57.54	$83.18	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $138.04	Professional		$79.43	$89.13	$138.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $35.48	Professional	26	$19.95	$26.92	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $346.74	Facility		$177.83	$263.03	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $107.15 / $147.91	Professional		$26.92	$107.15	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $123.03	Professional		$58.88	$79.43	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $35.48	Professional	26	$21.88	$25.70	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $60.26 / $87.10	Professional	TC	$34.67	$60.26	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $512.86	Facility		$87.10	$100.00	$512.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $134.90 / $134.90	Facility	26	$61.66	$134.90	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $758.58	Professional		$72.44	$104.71	$758.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $26.92 / $169.82	Professional	26	$23.44	$26.92	$169.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $75.86 / $588.84	Professional	TC	$47.86	$75.86	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $125.89	Professional		$72.44	$93.33	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $26.30 / $33.88	Professional	26	$22.91	$26.30	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $93.33	Professional	TC	$45.71	$67.61	$93.33