Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.97 / $99.51 / $137.47	Facility	26	$66.97	$99.51	$137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.98 / $479.20 / $859.88	Professional		$380.98	$479.20	$859.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.34 / $69.20 / $121.66	Professional	26	$54.34	$69.20	$121.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $326.64 / $386.31 / $738.22	Professional	TC	$326.64	$386.31	$738.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.19 / $360.19 / $360.19	Professional		$360.19	$360.19	$360.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.74 / $48.74 / $60.27	Professional	26	$48.74	$48.74	$60.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.34 / $698.34 / $698.34	Professional		$698.34	$698.34	$698.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $620.89 / $1,087.00	Professional		$393.75	$620.89	$1,087.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $89.36 / $158.00	Professional	26	$56.48	$89.36	$158.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.23 / $535.09 / $929.00	Professional	TC	$336.23	$535.09	$929.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $133.12 / $133.12	Facility	26	$133.12	$133.12	$133.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.89 / $660.84 / $3,905.69	Professional		$447.89	$660.84	$3,905.69
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.95 / $113.57 / $617.51	Professional	26	$65.95	$113.57	$617.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $380.08 / $567.33 / $3,576.06	Professional	TC	$380.08	$567.33	$3,576.06
United Facility/Professional Professional Modifier Low / Median / High Price $425.68 / $592.66 / $1,065.83	Professional		$425.68	$592.66	$1,065.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.37 / $87.91 / $147.86	Professional	26	$61.37	$87.91	$147.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.34 / $482.37 / $855.31	Professional	TC	$371.34	$482.37	$855.31