Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $75.86 / $354.81	Facility	26	$58.88	$75.86	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $389.05	Professional		$169.82	$245.47	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $138.04	Professional	26	$51.29	$61.66	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $177.83 / $338.84	Professional	TC	$128.82	$177.83	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $42.66 / $75.86	Professional	26	$33.88	$42.66	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $194.98 / $269.15	Professional		$57.54	$194.98	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $56.23 / $89.13	Facility	26	$56.23	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $489.78	Professional		$190.55	$316.23	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $60.26 / $117.49	Professional	26	$47.86	$60.26	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $251.19 / $389.05	Professional	TC	$134.90	$251.19	$389.05
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $537.03 / $537.03	Facility	26	$416.87	$537.03	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $2,089.30	Professional		$199.53	$302.00	$2,089.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $380.19	Professional	26	$50.12	$66.07	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $257.04 / $1,737.80	Professional	TC	$151.36	$257.04	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $501.19	Professional		$199.53	$269.15	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $93.33	Professional	26	$50.12	$61.66	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $199.53 / $398.11	Professional	TC	$147.91	$199.53	$398.11