Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.35 / $79.63 / $91.87	Facility	26	$58.35	$79.63	$91.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $190.78 / $281.67	Professional		$171.00	$190.78	$281.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.14 / $81.42	Professional	26	$51.30	$64.14	$81.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $113.12 / $126.64 / $226.80	Professional	TC	$113.12	$126.64	$226.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.73 / $55.92 / $94.95	Professional	26	$44.73	$55.92	$94.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $174.65 / $239.82	Professional		$63.49	$174.65	$239.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.49 / $58.49 / $93.89	Facility	26	$58.49	$58.49	$93.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $239.23 / $370.76	Professional		$150.19	$239.23	$370.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.22 / $59.60 / $100.39	Professional	26	$52.22	$59.60	$100.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.51 / $167.49 / $283.50	Professional	TC	$96.51	$167.49	$283.50
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $565.04 / $565.04	Facility	26	$436.88	$565.04	$565.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $246.58 / $1,897.57	Professional		$170.89	$246.58	$1,897.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $69.23 / $435.88	Professional	26	$51.86	$69.23	$435.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $112.10 / $193.80 / $1,600.00	Professional	TC	$112.10	$193.80	$1,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $195.78 / $381.53	Professional		$165.04	$195.78	$381.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $64.95 / $97.44	Professional	26	$51.86	$64.95	$97.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.10 / $137.43 / $257.88	Professional	TC	$112.10	$137.43	$257.88