Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.32 / $42.56 / $206.99	Facility	26	$36.32	$42.56	$206.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $86.02 / $171.00	Professional		$77.26	$86.02	$171.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.17 / $39.79 / $51.30	Professional	26	$36.17	$39.79	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.93 / $41.31 / $119.70	Professional	TC	$38.93	$41.31	$119.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.80 / $27.80 / $59.32	Professional	26	$27.80	$27.80	$59.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $67.20 / $95.23	Professional		$37.79	$67.20	$95.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.22 / $37.22 / $59.75	Facility	26	$37.22	$37.22	$59.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $78.54 / $144.71	Professional		$58.49	$78.54	$144.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.42 / $37.38 / $58.36	Professional	26	$32.42	$37.38	$58.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $41.91 / $76.97	Professional	TC	$24.46	$41.91	$76.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $88.63 / $169.56 / $169.56	Facility	26	$88.63	$169.56	$169.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $97.32 / $1,002.61	Professional		$63.74	$97.32	$1,002.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $41.79 / $238.39	Professional	26	$33.83	$41.79	$238.39
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.61 / $52.42 / $780.59	Professional	TC	$27.61	$52.42	$780.59
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $80.59 / $144.44	Professional		$60.29	$80.59	$144.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.83 / $39.97 / $64.48	Professional	26	$33.83	$39.97	$64.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $37.35 / $83.10	Professional	TC	$25.98	$37.35	$83.10