Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $85.11 / $371.54	Facility	26	$47.86	$85.11	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $190.55	Professional		$91.20	$123.03	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $89.13 / $724.44	Professional	26	$48.98	$89.13	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $63.10 / $95.50	Professional	TC	$45.71	$63.10	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $190.55	Professional		$93.33	$100.00	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $77.62	Professional	26	$46.77	$60.26	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $162.18	Professional		$58.88	$117.49	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $251.19	Professional		$114.82	$138.04	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $58.88 / $102.33	Professional	26	$53.70	$58.88	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $77.62 / $125.89	Professional	TC	$56.23	$77.62	$125.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $346.74 / $346.74	Facility	26	$141.25	$346.74	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $1,047.13	Professional		$107.15	$154.88	$1,047.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $851.14	Professional	26	$51.29	$69.18	$851.14
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $83.18 / $724.44	Professional	TC	$54.95	$83.18	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $93.33	Professional	26	$50.12	$66.07	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $141.25	Professional	TC	$54.95	$77.62	$141.25