Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.78 / $186.90 / $273.02	Facility	26	$69.78	$186.90	$273.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $229.24 / $980.00	Professional		$176.47	$229.24	$980.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.44 / $80.40 / $330.00	Professional	26	$63.44	$80.40	$330.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.55 / $146.53 / $268.39	Professional	TC	$106.55	$146.53	$268.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $172.64 / $172.64	Professional		$172.64	$172.64	$172.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $90.62 / $90.62	Professional	26	$64.73	$90.62	$90.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $235.75 / $294.69	Professional		$176.81	$235.75	$294.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.21 / $82.95 / $103.69	Professional	26	$62.21	$82.95	$103.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.60 / $152.80 / $191.00	Professional	TC	$114.60	$152.80	$191.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.01 / $78.01 / $78.01	Facility	26	$78.01	$78.01	$78.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $242.13 / $404.02	Professional		$184.02	$242.13	$404.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.37 / $89.86 / $154.72	Professional	26	$69.37	$89.86	$154.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.00 / $149.66 / $263.83	Professional	TC	$112.00	$149.66	$263.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $160.72 / $557.91 / $557.91	Facility	26	$160.72	$557.91	$557.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $236.46 / $1,677.02	Professional		$176.88	$236.46	$1,677.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $64.64 / $87.19 / $718.23	Professional	26	$64.64	$87.19	$718.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $110.22 / $152.96 / $985.97	Professional	TC	$110.22	$152.96	$985.97
United Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $222.00 / $363.97	Professional		$171.52	$222.00	$363.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.62 / $80.28 / $133.80	Professional	26	$62.62	$80.28	$133.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.12 / $138.60 / $228.97	Professional	TC	$108.12	$138.60	$228.97