Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.76 / $62.42 / $72.09	Facility	26	$45.76	$62.42	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $167.81 / $247.93	Professional		$129.78	$167.81	$247.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $51.30 / $63.83	Professional	26	$46.89	$51.30	$63.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.87 / $105.37 / $177.61	Professional	TC	$81.87	$105.37	$177.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $131.11 / $196.49	Professional		$131.11	$131.11	$196.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $37.20 / $59.09	Professional	26	$34.88	$37.20	$59.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $129.85 / $178.30	Professional		$47.60	$129.85	$178.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.34 / $53.34 / $85.48	Facility	26	$53.34	$53.34	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $200.31 / $319.27	Professional		$112.28	$200.31	$319.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $53.05 / $79.18	Professional	26	$41.59	$53.05	$79.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.25 / $150.40 / $246.97	Professional	TC	$70.25	$150.40	$246.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $442.24 / $442.24	Facility	26	$341.52	$442.24	$442.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.77 / $199.83 / $1,609.32	Professional		$136.77	$199.83	$1,609.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $58.10 / $379.76	Professional	26	$44.59	$58.10	$379.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $156.21 / $1,345.00	Professional	TC	$92.30	$156.21	$1,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $182.36 / $309.20	Professional		$136.88	$182.36	$309.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $51.25 / $98.35	Professional	26	$44.59	$51.25	$98.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.30 / $122.01 / $208.49	Professional	TC	$92.30	$122.01	$208.49