Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.83 / $52.78 / $256.85	Facility	26	$44.83	$52.78	$256.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.07 / $149.87 / $171.00	Professional		$130.07	$149.87	$171.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.97 / $51.30 / $61.23	Professional	26	$45.97	$51.30	$61.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.10 / $96.87 / $119.70	Professional	TC	$84.10	$96.87	$119.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.63 / $56.63 / $56.63	Professional	26	$56.63	$56.63	$56.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $132.65 / $182.15	Professional		$45.50	$132.65	$182.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $72.11	Facility	26	$44.92	$44.92	$72.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $164.91 / $247.38	Professional		$113.29	$164.91	$247.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.85 / $45.43 / $76.48	Professional	26	$39.85	$45.43	$76.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.02 / $114.17 / $176.97	Professional	TC	$73.02	$114.17	$176.97
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 $127.79 / $171.69 / $1,035.22	Professional		$127.79	$171.69	$1,035.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $52.24 / $287.12	Professional	26	$39.61	$52.24	$287.12
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $132.71 / $780.77	Professional	TC	$84.77	$132.71	$780.77
United Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $152.04 / $262.82	Professional		$127.79	$152.04	$262.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $49.44 / $74.16	Professional	26	$39.61	$49.44	$74.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.75 / $101.34 / $186.98	Professional	TC	$84.75	$101.34	$186.98