Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.20 / $127.42 / $238.06	Facility	26	$119.20	$127.42	$238.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $153.46 / $196.61	Professional		$134.40	$153.46	$196.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $105.85 / $133.35	Professional	26	$90.92	$105.85	$133.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $34.26 / $88.89	Professional	TC	$30.66	$34.26	$88.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.91 / $116.86 / $169.24	Professional	26	$79.91	$116.86	$169.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.06 / $28.06 / $28.06	Professional	TC	$28.06	$28.06	$28.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.89 / $393.89 / $393.89	Professional		$393.89	$393.89	$393.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $221.20 / $812.00	Professional		$137.11	$221.20	$812.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.08 / $149.15 / $184.90	Professional	26	$93.08	$149.15	$184.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $62.55 / $640.00	Professional	TC	$25.03	$62.55	$640.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $250.54 / $250.54 / $250.54	Facility	26	$250.54	$250.54	$250.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $384.91 / $3,014.42	Professional		$136.94	$384.91	$3,014.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $140.28 / $1,056.82	Professional	26	$110.80	$140.28	$1,056.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $275.58 / $2,488.46	Professional	TC	$25.98	$275.58	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $229.74 / $437.40	Professional		$136.78	$229.74	$437.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.33 / $124.24 / $188.36	Professional	26	$109.33	$124.24	$188.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $44.17 / $313.16	Professional	TC	$25.43	$44.17	$313.16