Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $346.74	Professional		$67.61	$87.10	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $61.66 / $190.55	Professional	26	$47.86	$61.66	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $64.57	Professional	TC	$21.88	$30.20	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $28.18 / $69.18	Professional	26	$27.54	$28.18	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $181.97	Professional		$43.65	$109.65	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $72.44 / $120.23	Professional	26	$31.62	$72.44	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $37.15 / $61.66	Professional	TC	$12.02	$37.15	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $588.84	Professional		$54.95	$114.82	$588.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $85.11 / $380.19	Professional	26	$38.90	$85.11	$380.19
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $33.88 / $204.17	Professional	TC	$15.85	$33.88	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $128.82	Professional		$54.95	$91.20	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $91.20	Professional	26	$38.90	$64.57	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $28.84 / $37.15	Professional	TC	$15.85	$28.84	$37.15