Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $44.67 / $64.57	Facility	26	$36.31	$44.67	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $234.42	Professional		$120.23	$154.88	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $87.10	Professional	26	$38.02	$48.98	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $107.15 / $165.96	Professional	TC	$79.43	$107.15	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $131.83 / $181.97	Professional		$43.65	$131.83	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $69.18	Facility	26	$61.66	$61.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $263.03	Professional		$131.83	$186.21	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $77.62	Professional	26	$44.67	$60.26	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $181.97	Professional	TC	$83.18	$120.23	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $213.80 / $213.80	Facility	26	$102.33	$213.80	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $1,096.48	Professional		$123.03	$173.78	$1,096.48
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $446.68	Professional	26	$38.90	$54.95	$446.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $131.83 / $870.96	Professional	TC	$81.28	$131.83	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $251.19	Professional		$114.82	$147.91	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $70.79	Professional	26	$38.02	$47.86	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $97.72 / $186.21	Professional	TC	$74.13	$97.72	$186.21