Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $60.26 / $95.50	Facility	26	$47.86	$60.26	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $50.12 / $97.72	Professional	26	$30.90	$50.12	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $102.33 / $147.91	Professional	TC	$75.86	$102.33	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $223.87	Professional		$97.72	$173.78	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $52.48	Professional	26	$31.62	$44.67	$52.48
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $275.42	Professional		$100.00	$151.36	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $51.29 / $85.11	Professional	26	$29.51	$51.29	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $123.03 / $229.09	Professional	TC	$74.13	$123.03	$229.09
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $190.55	Facility	26	$100.00	$100.00	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $933.25	Professional		$114.82	$154.88	$933.25
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $269.15	Professional	26	$33.11	$52.48	$269.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $109.65 / $660.69	Professional	TC	$75.86	$109.65	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $218.78	Professional		$114.82	$138.04	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $69.18	Professional	26	$33.11	$45.71	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $93.33 / $151.36	Professional	TC	$74.13	$93.33	$151.36