Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.43 / $129.66 / $240.56	Facility	26	$61.43	$129.66	$240.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $113.54 / $423.00	Professional		$93.18	$113.54	$423.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.99 / $69.17 / $295.00	Professional	26	$56.99	$69.17	$295.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $41.38 / $84.81	Professional	TC	$30.51	$41.38	$84.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $104.17 / $128.97	Professional		$89.29	$104.17	$128.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $104.61 / $113.76	Professional		$78.45	$104.61	$113.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.81 / $59.74 / $64.97	Professional	26	$44.81	$59.74	$64.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $44.86 / $48.79	Professional	TC	$33.65	$44.86	$48.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $123.44 / $222.70	Professional		$89.92	$123.44	$222.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.71 / $81.31 / $142.05	Professional	26	$59.71	$81.31	$142.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.74 / $47.81 / $81.79	Professional	TC	$29.74	$47.81	$81.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $140.60 / $284.70	Facility	26	$140.60	$140.60	$284.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $107.16 / $865.60	Professional		$82.15	$107.16	$865.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.70 / $72.53 / $382.35	Professional	26	$54.70	$72.53	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $37.36 / $307.58	Professional	TC	$25.11	$37.36	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $98.79 / $190.81	Professional		$79.50	$98.79	$190.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.00 / $66.65 / $122.23	Professional	26	$54.00	$66.65	$122.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $35.25 / $67.31	Professional	TC	$25.11	$35.25	$67.31