Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $109.40 / $397.29	Professional		$71.01	$109.40	$397.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.55 / $140.32 / $755.41	Professional	26	$44.55	$140.32	$755.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.05 / $27.41 / $40.29	Professional	TC	$27.05	$27.41	$40.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $28.01 / $29.35	Professional	26	$28.01	$28.01	$29.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $97.30 / $133.61	Professional		$60.20	$97.30	$133.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Facility		$147.00	$147.00	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $75.92 / $168.25	Professional		$42.50	$75.92	$168.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $62.94 / $104.00	Professional	26	$28.10	$62.94	$104.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.40 / $18.72 / $68.63	Professional	TC	$14.40	$18.72	$68.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $129.78 / $146.18	Facility		$74.56	$129.78	$146.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $133.80 / $643.49	Professional		$55.27	$133.80	$643.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $37.97 / $88.55 / $383.71	Professional	26	$37.97	$88.55	$383.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.29 / $52.52 / $350.03	Professional	TC	$17.29	$52.52	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $85.95 / $158.58	Professional		$52.08	$85.95	$158.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.79 / $59.12 / $104.95	Professional	26	$34.79	$59.12	$104.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.01 / $68.04	Professional	TC	$17.28	$21.01	$68.04