Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.13 / $51.70 / $90.85	Facility	26	$40.13	$51.70	$90.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.62 / $259.49 / $313.86	Professional		$229.62	$259.49	$313.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.75 / $38.58 / $47.64	Professional	26	$36.75	$38.58	$47.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.87 / $220.91 / $266.22	Professional	TC	$192.87	$220.91	$266.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $29.61 / $29.71	Professional	26	$29.61	$29.61	$29.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.43 / $370.43 / $370.43	Professional		$370.43	$370.43	$370.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $262.91 / $445.41	Professional		$69.80	$262.91	$445.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.51 / $58.49 / $72.66	Professional	26	$36.51	$58.49	$72.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.37 / $250.20 / $426.13	Professional	TC	$183.37	$250.20	$426.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Facility	26	$94.73	$94.73	$94.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $320.07 / $1,813.42	Professional		$222.27	$320.07	$1,813.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.45 / $51.83 / $328.57	Professional	26	$39.45	$51.83	$328.57
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $182.82 / $267.42 / $1,562.23	Professional	TC	$182.82	$267.42	$1,562.23
United Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $320.07 / $579.90	Professional		$222.27	$320.07	$579.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.45 / $46.13 / $73.25	Professional	26	$39.45	$46.13	$73.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.82 / $267.42 / $496.33	Professional	TC	$182.82	$267.42	$496.33