Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.23 / $77.69 / $127.83	Facility	26	$64.23	$77.69	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $164.60 / $199.92	Professional		$162.22	$164.60	$199.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $53.74 / $66.39	Professional	26	$51.54	$53.74	$66.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.96 / $111.07 / $133.53	Professional	TC	$108.96	$111.07	$133.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $41.39 / $41.46	Professional	26	$41.39	$41.39	$41.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $235.68 / $356.00	Professional		$96.27	$235.68	$356.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $81.54 / $101.41	Professional	26	$51.13	$81.54	$101.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.73 / $164.50 / $256.00	Professional	TC	$100.73	$164.50	$256.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $132.57 / $132.57	Facility	26	$132.57	$132.57	$132.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $245.94 / $1,809.00	Professional		$182.61	$245.94	$1,809.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $72.15 / $543.00	Professional	26	$55.23	$72.15	$543.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $118.90 / $164.55 / $1,266.00	Professional	TC	$118.90	$164.55	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $209.71 / $342.50	Professional		$173.48	$209.71	$342.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $65.90 / $102.62	Professional	26	$55.23	$65.90	$102.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.22 / $140.69 / $225.91	Professional	TC	$116.22	$140.69	$225.91