Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $41.69 / $169.82	Facility	26	$21.88	$41.69	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $151.36	Professional		$81.28	$114.82	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $25.70 / $47.86	Professional	26	$20.89	$25.70	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $89.13 / $123.03	Professional	TC	$66.07	$89.13	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $123.03 / $169.82	Professional		$28.18	$123.03	$169.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $39.81	Facility	26	$25.12	$25.12	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $190.55	Professional		$77.62	$107.15	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $27.54 / $46.77	Professional	26	$22.39	$27.54	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $141.25	Professional	TC	$53.70	$79.43	$141.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $125.89 / $125.89	Facility	26	$64.57	$125.89	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $870.96	Professional		$97.72	$131.83	$870.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $199.53	Professional	26	$25.70	$30.20	$199.53
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $93.33 / $691.83	Professional	TC	$66.07	$93.33	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $162.18	Professional		$91.20	$117.49	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.84 / $42.66	Professional	26	$25.12	$28.84	$42.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $87.10 / $125.89	Professional	TC	$64.57	$87.10	$125.89