Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.55 / $86.31 / $99.97	Facility	26	$63.55	$86.31	$99.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $230.23 / $281.16	Professional		$171.00	$230.23	$281.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $69.65 / $88.26	Professional	26	$51.30	$69.65	$88.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.85 / $151.37 / $221.81	Professional	TC	$118.85	$151.37	$221.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.50 / $54.15 / $81.84	Professional	26	$48.50	$54.15	$81.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $185.85 / $255.20	Professional		$65.09	$185.85	$255.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.43 / $63.43 / $101.60	Facility	26	$63.43	$63.43	$101.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $248.87 / $379.92	Professional		$159.41	$248.87	$379.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.47 / $64.89 / $109.30	Professional	26	$56.47	$64.89	$109.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.22 / $183.56 / $283.49	Professional	TC	$101.22	$183.56	$283.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $473.36 / $612.88 / $612.88	Facility	26	$473.36	$612.88	$612.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $259.41 / $1,680.90	Professional		$181.59	$259.41	$1,680.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $75.18 / $414.94	Professional	26	$56.37	$75.18	$414.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $117.42 / $202.46 / $1,425.00	Professional	TC	$117.42	$202.46	$1,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $226.28 / $394.76	Professional		$178.97	$226.28	$394.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $69.63 / $105.75	Professional	26	$56.37	$69.63	$105.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.42 / $155.22 / $259.01	Professional	TC	$117.42	$155.22	$259.01