Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $62.33 / $94.32	Professional		$55.91	$62.33	$94.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.86 / $21.23 / $31.68	Professional	26	$18.86	$21.23	$31.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $41.30 / $64.52	Professional	TC	$37.04	$41.30	$64.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $10.13 / $25.34	Professional	26	$10.05	$10.13	$25.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $90.15 / $90.15	Professional		$90.15	$90.15	$90.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $76.98 / $128.47	Professional		$34.47	$76.98	$128.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $33.99 / $49.00	Professional	26	$11.41	$33.99	$49.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $52.20 / $85.13	Professional	TC	$23.06	$52.20	$85.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $75.84 / $108.02	Facility		$52.13	$75.84	$108.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $83.72 / $407.64	Professional		$60.08	$83.72	$407.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.72 / $32.33 / $244.00	Professional	26	$22.72	$32.33	$244.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.56 / $51.39 / $268.50	Professional	TC	$36.56	$51.39	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $63.16 / $88.42	Professional		$44.16	$63.16	$88.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $23.74 / $32.84	Professional	26	$14.08	$23.74	$32.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.49 / $41.76 / $52.42	Professional	TC	$30.49	$41.76	$52.42