Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.03 / $85.03 / $85.03	Facility	26	$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $140.97 / $197.16	Professional		$107.39	$140.97	$197.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $42.92 / $62.28	Professional	26	$36.97	$42.92	$62.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.18 / $98.23 / $139.51	Professional	TC	$67.18	$98.23	$139.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $106.27 / $137.32	Professional		$89.49	$106.27	$137.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.46 / $54.46 / $54.46	Professional	26	$54.46	$54.46	$54.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $107.51 / $128.03	Professional		$80.63	$107.51	$128.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $39.93 / $49.91	Professional	26	$29.95	$39.93	$49.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.69 / $67.58 / $84.48	Professional	TC	$50.69	$67.58	$84.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.38 / $50.38 / $50.38	Facility	26	$50.38	$50.38	$50.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $162.77 / $318.77	Professional		$108.17	$162.77	$318.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $57.89 / $100.52	Professional	26	$40.39	$57.89	$100.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.30 / $102.45 / $202.90	Professional	TC	$68.30	$102.45	$202.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.69 / $198.29 / $198.29	Facility	26	$102.69	$198.29	$198.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $151.19 / $944.58	Professional		$108.00	$151.19	$944.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $50.28 / $386.24	Professional	26	$40.60	$50.28	$386.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.84 / $105.11 / $782.04	Professional	TC	$66.84	$105.11	$782.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $139.19 / $241.55	Professional		$107.44	$139.19	$241.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.20 / $46.26 / $86.70	Professional	26	$40.20	$46.26	$86.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.94 / $96.72 / $154.19	Professional	TC	$64.94	$96.72	$154.19