Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $145.84 / $243.48	Facility	26	$62.16	$145.84	$243.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $255.31 / $948.06	Professional		$205.23	$255.31	$948.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $76.15 / $279.24	Professional	26	$56.51	$76.15	$279.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.60 / $159.77 / $347.91	Professional	TC	$143.60	$159.77	$347.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $265.45 / $285.88	Professional		$183.78	$265.45	$285.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.72 / $99.75 / $99.75	Professional	26	$80.72	$99.75	$99.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.56 / $232.75 / $290.94	Professional		$174.56	$232.75	$290.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.61 / $74.14 / $92.68	Professional	26	$55.61	$74.14	$92.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.96 / $158.61 / $198.26	Professional	TC	$118.96	$158.61	$198.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.50 / $69.50 / $69.50	Facility	26	$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $271.01 / $497.31	Professional		$214.36	$271.01	$497.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.24 / $78.29 / $138.57	Professional	26	$60.24	$78.29	$138.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.40 / $192.67 / $363.93	Professional	TC	$153.40	$192.67	$363.93
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $143.07 / $314.00 / $314.00	Facility	26	$143.07	$314.00	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $261.22 / $1,442.20	Professional		$201.85	$261.22	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.12 / $76.63 / $507.29	Professional	26	$57.12	$76.63	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $142.88 / $186.95 / $1,055.58	Professional	TC	$142.88	$186.95	$1,055.58
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $237.47 / $420.16	Professional		$201.63	$237.47	$420.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $70.20 / $120.97	Professional	26	$56.11	$70.20	$120.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.26 / $171.72 / $315.69	Professional	TC	$139.26	$171.72	$315.69