Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.88 / $23.62 / $36.92	Facility	26	$18.88	$23.62	$36.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $199.75 / $227.37	Professional		$151.08	$199.75	$227.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $21.93 / $23.48	Professional	26	$15.61	$21.93	$23.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.47 / $177.56 / $203.89	Professional	TC	$135.47	$177.56	$203.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.28 / $17.28 / $17.28	Professional	26	$17.28	$17.28	$17.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $218.75 / $300.38	Professional		$24.70	$218.75	$300.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.42 / $214.02 / $325.41	Professional		$184.42	$214.02	$325.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $22.90 / $35.22	Professional	26	$20.49	$22.90	$35.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.60 / $187.39 / $290.19	Professional	TC	$165.60	$187.39	$290.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $104.46 / $104.46	Facility	26	$55.06	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.10 / $247.57 / $485.98	Professional		$205.10	$247.57	$485.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $24.90 / $56.91	Professional	26	$19.92	$24.90	$56.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $178.14 / $218.98 / $492.42	Professional	TC	$178.14	$218.98	$492.42
United Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $229.66 / $371.36	Professional		$198.06	$229.66	$371.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.92 / $24.02 / $48.88	Professional	26	$19.92	$24.02	$48.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $171.14 / $207.11 / $405.01	Professional	TC	$171.14	$207.11	$405.01