Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $478.63	Professional		$173.78	$229.09	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $147.91	Professional	26	$60.26	$77.62	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $147.91 / $338.84	Professional	TC	$114.82	$147.91	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $229.09 / $309.03	Professional		$75.86	$229.09	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $416.87	Professional		$186.21	$245.47	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $128.82	Professional	26	$63.10	$77.62	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $151.36 / $269.15	Professional	TC	$123.03	$151.36	$269.15
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $1,479.11	Professional		$218.78	$288.40	$1,479.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $81.28 / $478.63	Professional	26	$66.07	$81.28	$478.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $316.23 / $1,000.00	Professional	TC	$147.91	$316.23	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $1,071.52	Professional		$218.78	$302.00	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $81.28 / $120.23	Professional	26	$66.07	$81.28	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $204.17 / $933.25	Professional	TC	$147.91	$204.17	$933.25