Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.50 / $327.79 / $409.71	Facility	26	$135.50	$327.79	$409.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.08 / $1,099.28 / $5,496.30	Professional		$827.08	$1,099.28	$5,496.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.89 / $109.82 / $578.66	Professional	26	$98.89	$109.82	$578.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $727.23 / $936.96 / $4,917.58	Professional	TC	$727.23	$936.96	$4,917.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $391.20 / $391.20 / $391.20	Professional	26	$391.20	$391.20	$391.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.86 / $957.15 / $4,636.21	Professional		$717.86	$957.15	$4,636.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.57 / $114.10 / $552.65	Professional	26	$85.57	$114.10	$552.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $632.29 / $843.06 / $4,083.55	Professional	TC	$632.29	$843.06	$4,083.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,083.58 / $1,377.36 / $2,041.54	Professional		$1,083.58	$1,377.36	$2,041.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.39 / $129.07 / $200.63	Professional	26	$67.39	$129.07	$200.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $963.06 / $1,224.17 / $1,832.02	Professional	TC	$963.06	$1,224.17	$1,832.02
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $229.45 / $432.95 / $432.95	Facility	26	$229.45	$432.95	$432.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $852.92 / $3,888.98	Professional		$766.12	$852.92	$3,888.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $93.41 / $413.61	Professional	26	$83.90	$93.41	$413.61
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $682.22 / $759.51 / $3,475.37	Professional	TC	$682.22	$759.51	$3,475.37
United Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $852.92 / $1,752.45	Professional		$766.12	$852.92	$1,752.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $93.41 / $191.92	Professional	26	$83.90	$93.41	$191.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $682.22 / $759.51 / $1,697.75	Professional	TC	$682.22	$759.51	$1,697.75