Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $2,089.30	Professional		$323.59	$512.86	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $218.78 / $676.08	Professional	26	$141.25	$218.78	$676.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $363.08 / $1,148.15	Professional	TC	$162.18	$363.08	$1,148.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $363.08	Professional		$257.04	$263.03	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $131.83 / $181.97	Professional	26	$125.89	$131.83	$181.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $131.83 / $181.97	Professional	TC	$128.82	$131.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $741.31	Facility		$331.13	$398.11	$741.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	TC	$1,445.44	$1,445.44	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $5,754.40	Professional		$208.93	$389.05	$5,754.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $181.97 / $1,096.48	Professional	26	$109.65	$181.97	$1,096.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $263.03 / $2,238.72	Professional	TC	$97.72	$263.03	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $389.05	Facility		$158.49	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $562.34	Professional		$208.93	$380.19	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $117.49 / $239.88	Professional	26	$102.33	$117.49	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $177.83 / $295.12	Professional	TC	$97.72	$177.83	$295.12