Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $132.68 / $267.56	Professional		$93.88	$132.68	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.90 / $39.25 / $64.17	Professional	26	$29.90	$39.25	$64.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.97 / $92.85 / $203.38	Professional	TC	$63.97	$92.85	$203.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $44.39 / $44.39	Professional	26	$44.39	$44.39	$44.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $234.75 / $234.75	Professional		$207.97	$234.75	$234.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $239.60 / $346.00	Professional		$61.68	$239.60	$346.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.19 / $80.81 / $125.00	Professional	26	$21.19	$80.81	$125.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.49 / $168.31 / $221.00	Professional	TC	$40.49	$168.31	$221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.27 / $187.45 / $1,070.24	Professional		$127.27	$187.45	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $62.10 / $390.67	Professional	26	$42.03	$62.10	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $68.66 / $126.81 / $793.60	Professional	TC	$68.66	$126.81	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $147.28 / $201.17	Professional		$93.98	$147.28	$201.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $43.91 / $65.00	Professional	26	$25.99	$43.91	$65.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.12 / $90.58 / $136.52	Professional	TC	$68.12	$90.58	$136.52