Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.06 / $91.62 / $120.48	Facility	26	$86.06	$91.62	$120.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $125.52 / $185.82	Professional		$86.39	$125.52	$185.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $71.72 / $107.46	Professional	26	$54.60	$71.72	$107.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.87 / $53.81 / $78.36	Professional	TC	$31.87	$53.81	$78.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $118.30 / $123.03	Professional		$88.02	$118.30	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $63.81 / $63.81	Professional	26	$51.61	$63.81	$63.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $149.22 / $149.22	Professional		$119.38	$149.22	$149.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $141.30 / $213.48	Professional		$97.77	$141.30	$213.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.25 / $92.96 / $149.71	Professional	26	$69.25	$92.96	$149.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $54.40 / $89.65	Professional	TC	$29.19	$54.40	$89.65
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 $101.41 / $130.88 / $865.60	Professional		$101.41	$130.88	$865.60
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $65.31 / $88.15 / $382.35	Professional	26	$65.31	$88.15	$382.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.03 / $43.70 / $307.58	Professional	TC	$34.03	$43.70	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $123.94 / $194.84	Professional		$98.37	$123.94	$194.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.01 / $84.26 / $150.94	Professional	26	$65.01	$84.26	$150.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.24 / $42.09 / $65.20	Professional	TC	$33.24	$42.09	$65.20