Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.68 / $75.68 / $75.68	Facility	26	$75.68	$75.68	$75.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $207.05 / $285.94	Professional		$170.63	$207.05	$285.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $63.70 / $82.42	Professional	26	$48.57	$63.70	$82.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.93 / $131.36 / $220.00	Professional	TC	$106.93	$131.36	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $39.20 / $58.42	Professional	26	$37.00	$39.20	$58.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $134.75 / $289.10	Professional		$89.43	$134.75	$289.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.54 / $98.00 / $115.64	Professional	26	$71.54	$98.00	$115.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.66 / $80.84 / $173.46	Professional	TC	$53.66	$80.84	$173.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $211.39 / $439.63	Professional		$114.81	$211.39	$439.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.51 / $68.40 / $156.97	Professional	26	$40.51	$68.40	$156.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.66 / $133.38 / $324.30	Professional	TC	$74.66	$133.38	$324.30
United Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $175.62 / $358.61	Professional		$124.24	$175.62	$358.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.31 / $55.53 / $79.88	Professional	26	$43.31	$55.53	$79.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.93 / $107.91 / $290.92	Professional	TC	$80.93	$107.91	$290.92