Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $79.77 / $300.80	Professional		$68.06	$79.77	$300.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $21.37 / $74.00	Professional	26	$17.82	$21.37	$74.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $56.16 / $99.16	Professional	TC	$50.22	$56.16	$99.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $97.63 / $97.63	Professional		$97.63	$97.63	$97.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $34.24 / $34.24	Professional	26	$24.84	$34.24	$34.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $78.63 / $156.77	Professional		$76.67	$78.63	$156.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $21.49 / $42.84	Professional	26	$20.95	$21.49	$42.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.72 / $57.14 / $113.93	Professional	TC	$55.72	$57.14	$113.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $104.06 / $104.06	Facility	26	$39.24	$104.06	$104.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $137.60 / $468.55	Professional		$90.68	$137.60	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.46 / $25.06 / $126.27	Professional	26	$21.46	$25.06	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $65.88 / $112.00 / $342.28	Professional	TC	$65.88	$112.00	$342.28
United Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $108.08 / $170.78	Professional		$90.68	$108.08	$170.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $24.98 / $44.81	Professional	26	$20.93	$24.98	$44.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.88 / $84.66 / $137.37	Professional	TC	$65.88	$84.66	$137.37