Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.38 / $72.47 / $120.49	Facility	26	$56.38	$72.47	$120.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $202.36 / $819.00	Professional		$178.84	$202.36	$819.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $34.27 / $82.17	Professional	26	$21.46	$34.27	$82.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.57 / $169.96 / $337.12	Professional	TC	$144.57	$169.96	$337.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $171.39 / $171.39	Professional		$146.26	$171.39	$171.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $29.44 / $69.48	Professional	26	$28.51	$29.44	$69.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $197.44 / $246.80	Professional		$148.08	$197.44	$246.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $37.40 / $46.76	Professional	26	$28.06	$37.40	$46.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.02 / $160.03 / $200.04	Professional	TC	$120.02	$160.03	$200.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $270.18 / $440.66	Professional		$192.12	$270.18	$440.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.66 / $38.59 / $85.97	Professional	26	$23.66	$38.59	$85.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.86 / $227.91 / $361.52	Professional	TC	$154.86	$227.91	$361.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $87.53 / $169.56 / $169.56	Facility	26	$87.53	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $268.20 / $1,546.49	Professional		$190.40	$268.20	$1,546.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $41.05 / $391.31	Professional	26	$22.81	$41.05	$391.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $154.77 / $240.79 / $1,417.87	Professional	TC	$154.77	$240.79	$1,417.87
United Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $245.85 / $395.88	Professional		$186.56	$245.85	$395.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.21 / $39.59 / $75.44	Professional	26	$22.21	$39.59	$75.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.33 / $216.96 / $342.81	Professional	TC	$152.33	$216.96	$342.81