Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $302.00 / $302.00	Facility	26	$245.47	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $645.65	Professional		$263.03	$331.13	$645.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $194.98 / $398.11	Professional	26	$169.82	$194.98	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $112.20 / $177.83	Professional	TC	$93.33	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $363.08	Professional		$239.88	$281.84	$363.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $204.17 / $251.19	Professional	26	$158.49	$204.17	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $912.01	Professional		$275.42	$398.11	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $251.19 / $588.84	Professional	26	$177.83	$251.19	$588.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $151.36 / $323.59	Professional	TC	$95.50	$151.36	$323.59
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	26	$426.58	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $1,862.09	Professional		$302.00	$407.38	$1,862.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $251.19 / $1,174.90	Professional	26	$190.55	$251.19	$1,174.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $154.88 / $691.83	Professional	TC	$112.20	$154.88	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $562.34	Professional		$302.00	$380.19	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $239.88 / $354.81	Professional	26	$194.98	$239.88	$354.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $147.91 / $208.93	Professional	TC	$112.20	$147.91	$208.93