Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.54 / $146.94 / $534.84	Facility	26	$85.54	$146.94	$534.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.94 / $386.93 / $458.97	Professional		$281.94	$386.93	$458.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.73 / $97.12 / $104.79	Professional	26	$68.73	$97.12	$104.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.21 / $288.97 / $355.54	Professional	TC	$213.21	$288.97	$355.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.24 / $98.24 / $98.24	Professional	26	$98.24	$98.24	$98.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $409.85 / $562.78	Professional		$102.47	$409.85	$562.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.76 / $395.65 / $594.71	Professional		$340.76	$395.65	$594.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $99.71 / $154.65	Professional	26	$89.30	$99.71	$154.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.45 / $295.85 / $440.36	Professional	TC	$246.45	$295.85	$440.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $246.31 / $479.89 / $479.89	Facility	26	$246.31	$479.89	$479.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.82 / $499.91 / $958.59	Professional		$388.82	$499.91	$958.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.76 / $118.84 / $657.16	Professional	26	$90.76	$118.84	$657.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $281.20 / $381.05 / $2,013.59	Professional	TC	$281.20	$381.05	$2,013.59
United Facility/Professional Professional Modifier Low / Median / High Price $368.69 / $498.61 / $700.28	Professional		$368.69	$498.61	$700.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.48 / $112.63 / $147.90	Professional	26	$87.48	$112.63	$147.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $281.20 / $364.88 / $527.26	Professional	TC	$281.20	$364.88	$527.26