Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.84 / $90.96 / $177.09	Facility	26	$48.84	$90.96	$177.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $175.88 / $697.60	Professional		$139.33	$175.88	$697.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $48.84 / $120.97	Professional	26	$40.95	$48.84	$120.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.64 / $120.78 / $249.76	Professional	TC	$95.64	$120.78	$249.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $138.35 / $159.80	Professional		$103.17	$138.35	$159.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.85 / $44.81 / $200.40	Professional	26	$35.85	$44.81	$200.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $127.09 / $158.86	Professional		$111.20	$127.09	$158.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.37 / $33.56 / $46.15	Professional	26	$29.37	$33.56	$46.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.84 / $93.53 / $116.91	Professional	TC	$81.84	$93.53	$116.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $207.42 / $330.11	Professional		$132.38	$207.42	$330.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.78 / $59.93 / $97.03	Professional	26	$39.78	$59.93	$97.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.62 / $144.75 / $234.83	Professional	TC	$92.62	$144.75	$234.83
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $111.37 / $211.96 / $211.96	Facility	26	$111.37	$211.96	$211.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $198.86 / $1,024.30	Professional		$175.23	$198.86	$1,024.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $57.54 / $300.10	Professional	26	$51.58	$57.54	$300.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $122.04 / $141.32 / $724.19	Professional	TC	$122.04	$141.32	$724.19
United Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $188.97 / $323.24	Professional		$171.79	$188.97	$323.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $56.38 / $89.70	Professional	26	$51.25	$56.38	$89.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.54 / $133.52 / $220.36	Professional	TC	$120.54	$133.52	$220.36