Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.38 / $95.55 / $200.29	Facility	26	$69.38	$95.55	$200.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $342.11 / $1,795.00	Professional		$293.82	$342.11	$1,795.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $56.44 / $275.00	Professional	26	$43.47	$56.44	$275.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.34 / $280.39 / $546.24	Professional	TC	$250.34	$280.39	$546.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.90 / $65.90 / $65.90	Professional	26	$65.90	$65.90	$65.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $344.63 / $1,669.31	Professional		$258.47	$344.63	$1,669.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.85 / $49.14 / $238.00	Professional	26	$36.85	$49.14	$238.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.62 / $295.50 / $1,431.31	Professional	TC	$221.62	$295.50	$1,431.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.75 / $423.24 / $679.31	Professional		$257.75	$423.24	$679.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $67.70 / $101.67	Professional	26	$41.79	$67.70	$101.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.96 / $355.82 / $572.15	Professional	TC	$215.96	$355.82	$572.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $222.53 / $222.53	Facility	26	$117.49	$222.53	$222.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $304.70 / $2,033.50	Professional		$273.70	$304.70	$2,033.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $48.13 / $313.45	Professional	26	$42.53	$48.13	$313.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $231.17 / $257.35 / $1,720.04	Professional	TC	$231.17	$257.35	$1,720.04
United Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $304.70 / $681.11	Professional		$273.70	$304.70	$681.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $47.35 / $98.60	Professional	26	$42.53	$47.35	$98.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.17 / $257.35 / $621.91	Professional	TC	$231.17	$257.35	$621.91