Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $323.59 / $478.63	Facility	26	$169.82	$323.59	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $426.58	Professional		$223.87	$281.84	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $158.49 / $229.09	Professional	26	$123.03	$158.49	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $134.90 / $194.98	Professional	TC	$109.65	$134.90	$194.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $154.88 / $169.82	Professional	26	$114.82	$154.88	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $501.19	Professional		$251.19	$354.81	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $181.97 / $269.15	Professional	26	$131.83	$181.97	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $158.49 / $239.88	Professional	TC	$114.82	$158.49	$239.88
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $1,778.28	Professional		$288.40	$371.54	$1,778.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $199.53 / $954.99	Professional	26	$154.88	$199.53	$954.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $831.76	Professional	TC	$131.83	$173.78	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $478.63	Professional		$288.40	$354.81	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $190.55 / $251.19	Professional	26	$154.88	$190.55	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $165.96 / $223.87	Professional	TC	$131.83	$165.96	$223.87