Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.20 / $88.21 / $95.84	Facility	26	$88.20	$88.21	$95.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.15 / $327.96 / $475.00	Professional		$246.15	$327.96	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.42 / $104.05 / $140.00	Professional	26	$73.42	$104.05	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $172.73 / $222.71 / $335.00	Professional	TC	$172.73	$222.71	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.02 / $349.33 / $384.66	Professional		$346.02	$349.33	$384.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.39 / $101.74 / $137.35	Professional	26	$81.39	$101.74	$137.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $358.75 / $492.62	Professional		$109.20	$358.75	$492.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.86 / $173.86 / $173.86	Facility	26	$173.86	$173.86	$173.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $358.19 / $577.60	Professional		$295.42	$358.19	$577.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.16 / $107.95 / $181.81	Professional	26	$91.16	$107.95	$181.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $197.75 / $240.87 / $405.68	Professional	TC	$197.75	$240.87	$405.68
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.48 / $1,020.08 / $1,020.08	Facility	26	$796.48	$1,020.08	$1,020.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.26 / $482.18 / $2,337.81	Professional		$343.26	$482.18	$2,337.81
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $117.49 / $687.65	Professional	26	$69.26	$117.49	$687.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $248.98 / $422.22 / $1,650.16	Professional	TC	$248.98	$422.22	$1,650.16
United Facility/Professional Professional Modifier Low / Median / High Price $351.34 / $484.61 / $1,105.94	Professional		$351.34	$484.61	$1,105.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $107.52 / $182.71	Professional	26	$69.26	$107.52	$182.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.98 / $329.12 / $830.49	Professional	TC	$248.98	$329.12	$830.49