Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $69.18 / $398.11	Facility	26	$52.48	$69.18	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $380.19	Professional		$245.47	$309.03	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $63.10 / $154.88	Professional	26	$48.98	$63.10	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $245.47 / $316.23	Professional	TC	$194.98	$245.47	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $70.79 / $79.43	Professional	26	$47.86	$70.79	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $316.23 / $426.58	Professional		$75.86	$316.23	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Professional		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $97.72	Professional	26	$54.95	$63.10	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $239.88 / $380.19	Professional	TC	$199.53	$239.88	$380.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $288.40 / $288.40	Facility	26	$151.36	$288.40	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $776.25	Professional		$275.42	$371.54	$776.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $407.38	Professional	26	$54.95	$74.13	$407.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $281.84 / $1,659.59	Professional	TC	$223.87	$281.84	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $489.78	Professional		$275.42	$346.74	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $102.33	Professional	26	$54.95	$69.18	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $281.84 / $380.19	Professional	TC	$223.87	$281.84	$380.19