Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $83.18 / $83.18	Facility	26	$70.79	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $144.54	Professional		$64.57	$89.13	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $95.50	Professional	26	$38.90	$48.98	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $67.61	Professional	TC	$25.70	$39.81	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $181.97	Professional		$69.18	$70.79	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $50.12	Professional	26	$34.67	$43.65	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $257.04	Professional		$70.79	$104.71	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $134.90	Professional	26	$45.71	$61.66	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $41.69 / $125.89	Professional	TC	$21.88	$41.69	$125.89
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $190.55	Facility	26	$95.50	$95.50	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $616.60	Professional		$74.13	$97.72	$616.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $263.03	Professional	26	$43.65	$61.66	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $35.48 / $263.03	Professional	TC	$27.54	$35.48	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $125.89	Professional		$72.44	$89.13	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $56.23 / $81.28	Professional	26	$43.65	$56.23	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $54.95	Professional	TC	$25.70	$33.88	$54.95