Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $309.45 / $689.23 / $935.73	Facility	26	$309.45	$689.23	$935.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.68 / $596.72 / $2,300.52	Professional		$499.68	$596.72	$2,300.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $258.47 / $1,183.00	Professional	26	$198.28	$258.47	$1,183.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.70 / $348.92 / $1,494.00	Professional	TC	$264.70	$348.92	$1,494.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $508.94 / $532.07	Professional		$300.74	$508.94	$532.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $273.88 / $376.41 / $376.41	Professional	26	$273.88	$376.41	$376.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.95 / $505.59 / $631.99	Professional		$492.95	$505.59	$631.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $236.22 / $236.22 / $295.27	Professional	26	$236.22	$236.22	$295.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.63 / $269.37 / $537.04	Professional	TC	$262.63	$269.37	$537.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.18 / $808.62 / $1,257.84	Professional		$400.18	$808.62	$1,257.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $189.86 / $289.00 / $457.39	Professional	26	$189.86	$289.00	$457.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $210.32 / $406.60 / $852.75	Professional	TC	$210.32	$406.60	$852.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $528.44 / $1,325.34 / $1,325.34	Facility	26	$528.44	$1,325.34	$1,325.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.10 / $918.08 / $7,381.05	Professional		$581.10	$918.08	$7,381.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $251.18 / $286.68 / $1,699.00	Professional	26	$251.18	$286.68	$1,699.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $308.64 / $578.41 / $6,233.93	Professional	TC	$308.64	$578.41	$6,233.93
United Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $758.20 / $1,144.46	Professional		$556.70	$758.20	$1,144.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $238.29 / $282.81 / $412.57	Professional	26	$238.29	$282.81	$412.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.42 / $343.77 / $873.02	Professional	TC	$288.42	$343.77	$873.02