Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.20 / $47.44 / $98.20	Facility	26	$25.20	$47.44	$98.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $132.74 / $497.47	Professional		$97.11	$132.74	$497.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.68 / $120.00	Professional	26	$22.91	$31.68	$120.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.26 / $160.31	Professional	TC	$67.61	$85.26	$160.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $120.07 / $129.30	Professional		$83.12	$120.07	$129.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $29.68 / $32.72	Professional	26	$19.86	$29.68	$32.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $119.26 / $149.08	Professional		$89.45	$119.26	$149.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $29.88 / $37.35	Professional	26	$22.41	$29.88	$37.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.04 / $89.38 / $111.73	Professional	TC	$67.04	$89.38	$111.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.20 / $28.20 / $28.20	Facility	26	$28.20	$28.20	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $128.37 / $211.01	Professional		$100.47	$128.37	$211.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $32.33 / $55.90	Professional	26	$25.19	$32.33	$55.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.33 / $97.15 / $157.43	Professional	TC	$75.33	$97.15	$157.43
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $136.00 / $136.00	Facility	26	$57.98	$136.00	$136.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $126.72 / $698.76	Professional		$92.07	$126.72	$698.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.04 / $31.22 / $279.51	Professional	26	$23.04	$31.22	$279.51
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $67.98 / $97.65 / $479.00	Professional	TC	$67.98	$97.65	$479.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $116.15 / $188.00	Professional		$89.73	$116.15	$188.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $28.80 / $48.32	Professional	26	$22.63	$28.80	$48.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.30 / $87.36 / $159.13	Professional	TC	$67.30	$87.36	$159.13