Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.28 / $252.30 / $342.53	Facility	26	$113.28	$252.30	$342.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $594.37 / $2,377.00	Professional		$456.50	$594.37	$2,377.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $100.15 / $399.00	Professional	26	$67.73	$100.15	$399.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.69 / $508.06 / $1,932.00	Professional	TC	$365.69	$508.06	$1,932.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $459.62 / $480.52	Professional		$271.60	$459.62	$480.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.78 / $137.09 / $137.09	Professional	26	$99.78	$137.09	$137.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.17 / $458.17 / $572.71	Professional		$458.17	$458.17	$572.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.03 / $86.03 / $107.54	Professional	26	$86.03	$86.03	$107.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $362.83 / $372.14 / $741.95	Professional	TC	$362.83	$372.14	$741.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.96 / $611.80 / $988.37	Professional		$376.96	$611.80	$988.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.40 / $100.82 / $158.97	Professional	26	$69.40	$100.82	$158.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $307.56 / $498.97 / $843.33	Professional	TC	$307.56	$498.97	$843.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $192.44 / $1,357.70 / $1,357.70	Facility	26	$192.44	$1,357.70	$1,357.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.96 / $635.17 / $4,499.00	Professional		$520.96	$635.17	$4,499.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $87.02 / $103.18 / $1,350.00	Professional	26	$87.02	$103.18	$1,350.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $434.25 / $528.71 / $3,149.00	Professional	TC	$434.25	$528.71	$3,149.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.88 / $635.17 / $865.45	Professional		$528.88	$635.17	$865.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.22 / $100.48 / $156.19	Professional	26	$86.22	$100.48	$156.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $433.64 / $528.71 / $750.20	Professional	TC	$433.64	$528.71	$750.20