Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.56 / $54.55 / $101.92	Facility	26	$52.56	$54.55	$101.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $63.66 / $80.29	Professional		$55.57	$63.66	$80.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $45.27 / $55.59	Professional	26	$37.99	$45.27	$55.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $18.38 / $24.70	Professional	TC	$17.57	$18.38	$24.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $49.35 / $49.35	Professional	26	$49.35	$49.35	$49.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $140.32 / $140.32	Professional		$140.32	$140.32	$140.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $79.14 / $107.98	Professional		$55.09	$79.14	$107.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.99 / $61.81 / $76.66	Professional	26	$38.99	$61.81	$76.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $26.47 / $31.47	Professional	TC	$16.11	$26.47	$31.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $107.57 / $107.57	Facility	26	$107.57	$107.57	$107.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $83.12 / $404.61	Professional		$66.40	$83.12	$404.61
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $46.65 / $58.18 / $402.86	Professional	26	$46.65	$58.18	$402.86
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $24.94 / $402.86	Professional	TC	$19.12	$24.94	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $73.39 / $110.50	Professional		$65.00	$73.39	$110.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.27 / $51.48 / $92.70	Professional	26	$46.27	$51.48	$92.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $23.17 / $32.50	Professional	TC	$18.35	$23.17	$32.50