Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.35 / $55.66 / $85.93	Facility	26	$47.35	$55.66	$85.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $92.38 / $114.51	Professional		$74.50	$92.38	$114.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $46.38 / $58.18	Professional	26	$34.07	$46.38	$58.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.10 / $49.65 / $57.50	Professional	TC	$37.10	$49.65	$57.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $27.80 / $36.29	Professional	26	$27.80	$27.80	$36.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $165.45 / $165.45	Professional		$165.45	$165.45	$165.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $106.57 / $270.00	Professional		$56.84	$106.57	$270.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.50 / $54.23 / $71.37	Professional	26	$31.50	$54.23	$71.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.99 / $53.74 / $202.00	Professional	TC	$25.99	$53.74	$202.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.63 / $88.63 / $169.56	Facility	26	$88.63	$88.63	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $128.53 / $1,002.61	Professional		$76.34	$128.53	$1,002.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $53.71 / $238.39	Professional	26	$37.79	$53.71	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.28 / $90.59 / $780.59	Professional	TC	$33.28	$90.59	$780.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $107.18 / $187.94	Professional		$73.26	$107.18	$187.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $44.93 / $70.34	Professional	26	$37.79	$44.93	$70.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $48.73 / $90.74	Professional	TC	$32.47	$48.73	$90.74