Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.17 / $33.65 / $63.78	Facility	26	$32.17	$33.65	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $123.81 / $149.82	Professional		$90.73	$123.81	$149.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $27.64 / $33.36	Professional	26	$24.26	$27.64	$33.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.45 / $97.00 / $117.03	Professional	TC	$66.45	$97.00	$117.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $88.52 / $88.52	Professional		$88.52	$88.52	$88.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $21.82 / $26.84	Professional	26	$21.82	$21.82	$26.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $164.50 / $164.50	Professional		$164.50	$164.50	$164.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $143.69 / $228.44	Professional		$83.44	$143.69	$228.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $39.93 / $51.28	Professional	26	$23.25	$39.93	$51.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.84 / $111.09 / $191.42	Professional	TC	$58.84	$111.09	$191.42
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.28 / $64.28 / $125.66	Facility	26	$64.28	$64.28	$125.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $137.75 / $873.78	Professional		$99.66	$137.75	$873.78
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $35.89 / $198.13	Professional	26	$26.08	$35.89	$198.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $73.58 / $105.35 / $695.99	Professional	TC	$73.58	$105.35	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $125.23 / $204.22	Professional		$99.66	$125.23	$204.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $32.38 / $57.76	Professional	26	$26.08	$32.38	$57.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.25 / $93.82 / $155.04	Professional	TC	$72.25	$93.82	$155.04