Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.58 / $71.45 / $127.02	Facility	26	$64.58	$71.45	$127.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.94 / $317.42 / $372.68	Professional		$303.94	$317.42	$372.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $53.82 / $66.39	Professional	26	$49.03	$53.82	$66.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.35 / $261.94 / $306.30	Professional	TC	$250.35	$261.94	$306.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.13 / $41.13 / $41.13	Professional	26	$41.13	$41.13	$41.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Professional		$503.06	$503.06	$503.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.66 / $475.00 / $604.88	Professional		$304.66	$475.00	$604.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.83 / $80.00 / $101.38	Professional	26	$50.83	$80.00	$101.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $253.83 / $396.00 / $503.50	Professional	TC	$253.83	$396.00	$503.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $131.71 / $131.71 / $131.71	Facility	26	$131.71	$131.71	$131.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.23 / $451.26 / $2,141.04	Professional		$365.23	$451.26	$2,141.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $59.61 / $71.30 / $351.55	Professional	26	$59.61	$71.30	$351.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $305.32 / $362.40 / $1,789.49	Professional	TC	$305.32	$362.40	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $352.11 / $401.75 / $629.29	Professional		$352.11	$401.75	$629.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.11 / $65.53 / $100.91	Professional	26	$58.11	$65.53	$100.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $292.83 / $344.49 / $528.38	Professional	TC	$292.83	$344.49	$528.38