Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.01 / $133.71 / $281.58	Facility	26	$92.01	$133.71	$281.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $163.03 / $328.76	Professional		$140.28	$163.03	$328.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.39 / $74.68 / $281.00	Professional	26	$51.39	$74.68	$281.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $110.48 / $160.22	Professional	TC	$68.84	$110.48	$160.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.70 / $75.34 / $113.96	Professional	26	$52.70	$75.34	$113.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $130.94 / $163.69	Professional		$109.67	$130.94	$163.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $71.38 / $89.22	Professional	26	$59.78	$71.38	$89.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $59.58 / $74.47	Professional	TC	$49.89	$59.58	$74.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $79.31	Facility	26	$79.31	$79.31	$79.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $211.58 / $352.39	Professional		$118.87	$211.58	$352.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.71 / $70.42 / $126.84	Professional	26	$52.71	$70.42	$126.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.88 / $108.52 / $265.19	Professional	TC	$59.88	$108.52	$265.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $646.64 / $646.64 / $646.64	Facility	26	$646.64	$646.64	$646.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $181.41 / $1,406.40	Professional		$122.13	$181.41	$1,406.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $64.42 / $439.49	Professional	26	$47.35	$64.42	$439.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $109.79 / $1,140.03	Professional	TC	$62.21	$109.79	$1,140.03
United Facility/Professional Professional Modifier Low / Median / High Price $115.31 / $147.62 / $317.81	Professional		$115.31	$147.62	$317.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.35 / $64.42 / $111.30	Professional	26	$47.35	$64.42	$111.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $79.92 / $177.48	Professional	TC	$62.21	$79.92	$177.48