Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.84 / $188.34 / $235.41	Facility	26	$77.84	$188.34	$235.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.50 / $349.32 / $740.25	Professional		$324.50	$349.32	$740.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $53.78 / $257.87	Professional	26	$49.03	$53.78	$257.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.93 / $298.91 / $1,477.69	Professional	TC	$266.93	$298.91	$1,477.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.61 / $309.61 / $309.61	Professional		$309.61	$309.61	$309.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $364.58 / $1,765.92	Professional		$273.43	$364.58	$1,765.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $55.14 / $267.07	Professional	26	$41.35	$55.14	$267.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $232.08 / $309.44 / $1,498.85	Professional	TC	$232.08	$309.44	$1,498.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $461.14 / $723.90	Professional		$272.25	$461.14	$723.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.14 / $74.25 / $114.78	Professional	26	$47.14	$74.25	$114.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.11 / $383.01 / $604.51	Professional	TC	$225.11	$383.01	$604.51
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $249.77 / $249.77	Facility	26	$131.71	$249.77	$249.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $342.39 / $2,141.04	Professional		$307.55	$342.39	$2,141.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $54.02 / $351.55	Professional	26	$48.03	$54.02	$351.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $259.39 / $288.92 / $1,789.49	Professional	TC	$259.39	$288.92	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $306.99 / $342.39 / $765.35	Professional		$306.99	$342.39	$765.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $53.47 / $119.51	Professional	26	$48.03	$53.47	$119.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.52 / $288.92 / $588.74	Professional	TC	$259.52	$288.92	$588.74