Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.16 / $155.21 / $194.00	Facility	26	$64.16	$155.21	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $275.07 / $1,343.79	Professional		$213.31	$275.07	$1,343.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $49.92 / $272.85	Professional	26	$42.77	$49.92	$272.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.21 / $216.54 / $1,070.94	Professional	TC	$166.21	$216.54	$1,070.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $203.53 / $403.34	Professional		$203.53	$203.53	$403.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $237.79 / $1,151.81	Professional		$178.34	$237.79	$1,151.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $45.11 / $218.51	Professional	26	$33.83	$45.11	$218.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.51 / $192.68 / $933.29	Professional	TC	$144.51	$192.68	$933.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $322.68 / $464.79	Professional		$177.49	$322.68	$464.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $59.90 / $97.93	Professional	26	$38.36	$59.90	$97.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.12 / $250.17 / $366.87	Professional	TC	$139.12	$250.17	$366.87
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $210.21 / $210.21	Facility	26	$107.73	$210.21	$210.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $229.98 / $1,481.01	Professional		$199.70	$229.98	$1,481.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $45.72 / $501.94	Professional	26	$40.50	$45.72	$501.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $189.07 / $1,231.75	Professional	TC	$157.68	$189.07	$1,231.75
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $229.98 / $504.06	Professional		$199.70	$229.98	$504.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $42.02 / $105.84	Professional	26	$40.50	$42.02	$105.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.68 / $182.28 / $347.87	Professional	TC	$157.68	$182.28	$347.87