Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.67 / $67.14 / $103.89	Facility	26	$58.67	$67.14	$103.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $158.36 / $195.68	Professional		$127.71	$158.36	$195.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $55.95 / $70.00	Professional	26	$42.14	$55.95	$70.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $103.82 / $127.40	Professional	TC	$82.58	$103.82	$127.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $47.91 / $47.91	Professional	26	$47.91	$47.91	$47.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $237.07 / $237.07	Professional		$237.07	$237.07	$237.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $210.90 / $293.00	Professional		$109.70	$210.90	$293.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $64.04 / $85.08	Professional	26	$38.97	$64.04	$85.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.26 / $142.27 / $223.54	Professional	TC	$79.26	$142.27	$223.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $327.27 / $422.56 / $422.56	Facility	26	$327.27	$422.56	$422.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $213.45 / $1,035.22	Professional		$152.04	$213.45	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $67.50 / $287.12	Professional	26	$44.12	$67.50	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $99.80 / $151.72 / $780.77	Professional	TC	$99.80	$151.72	$780.77
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $187.88 / $261.52	Professional		$146.88	$187.88	$261.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.12 / $56.98 / $85.91	Professional	26	$44.12	$56.98	$85.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $142.96 / $184.23	Professional	TC	$97.44	$142.96	$184.23