Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.32 / $104.32 / $104.32	Facility	26	$104.32	$104.32	$104.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $181.54 / $687.08	Professional		$156.72	$181.54	$687.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.25 / $103.17 / $209.22	Professional	26	$88.25	$103.17	$209.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.08 / $79.70 / $121.87	Professional	TC	$67.08	$79.70	$121.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $164.99 / $340.04	Professional		$164.99	$164.99	$340.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.80 / $98.80 / $163.02	Professional	26	$98.80	$98.80	$163.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $138.66 / $184.53	Professional		$104.00	$138.66	$184.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.48 / $77.97 / $97.46	Professional	26	$58.48	$77.97	$97.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $60.70 / $75.88	Professional	TC	$45.53	$60.70	$75.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.19 / $118.19 / $118.19	Facility	26	$118.19	$118.19	$118.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $221.51 / $395.21	Professional		$102.90	$221.51	$395.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.63 / $143.85 / $235.50	Professional	26	$101.63	$143.85	$235.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.13 / $108.50 / $184.33	Professional	TC	$70.13	$108.50	$184.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $239.95 / $467.77 / $467.77	Facility	26	$239.95	$467.77	$467.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.02 / $216.40 / $1,142.65	Professional		$168.02	$216.40	$1,142.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $95.17 / $122.01 / $663.65	Professional	26	$95.17	$122.01	$663.65
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.54 / $94.16 / $479.00	Professional	TC	$72.54	$94.16	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $195.85 / $389.27	Professional		$166.20	$195.85	$389.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.55 / $110.88 / $219.61	Professional	26	$94.55	$110.88	$219.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.20 / $86.58 / $168.06	Professional	TC	$70.20	$86.58	$168.06