Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $128.82 / $154.88	Facility	26	$89.13	$128.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $229.09	Professional		$64.57	$85.11	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $158.49	Professional	26	$33.88	$50.12	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $72.44	Professional	TC	$20.89	$36.31	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $123.03	Professional		$56.23	$69.18	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.62 / $54.95	Professional	26	$26.30	$31.62	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $141.25	Professional		$57.54	$72.44	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $70.79	Professional	26	$28.84	$36.31	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $70.79	Professional	TC	$28.84	$36.31	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $158.49	Professional		$60.26	$89.13	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $91.20	Professional	26	$36.31	$52.48	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $69.18	Professional	TC	$21.88	$36.31	$69.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $177.83	Facility	26	$83.18	$83.18	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $562.34	Professional		$57.54	$79.43	$562.34
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $50.12 / $234.42	Professional	26	$35.48	$50.12	$234.42
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $245.47	Professional	TC	$19.05	$30.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $128.82	Professional		$57.54	$69.18	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $75.86	Professional	26	$33.88	$43.65	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $54.95	Professional	TC	$18.20	$28.84	$54.95