Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $75.86 / $75.86	Facility	26	$48.98	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $602.56	Professional		$169.82	$275.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $100.00 / $186.21	Professional	26	$51.29	$100.00	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $389.05	Professional	TC	$120.23	$194.98	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $74.13	Professional	26	$39.81	$58.88	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $251.19 / $302.00	Professional		$93.33	$251.19	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $87.10	Professional	26	$46.77	$67.61	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $186.21 / $218.78	Professional	TC	$67.61	$186.21	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $602.56	Professional		$181.97	$331.13	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $154.88	Professional	26	$54.95	$83.18	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $245.47 / $426.58	Professional	TC	$147.91	$245.47	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $457.09	Professional		$173.78	$234.42	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $100.00	Professional	26	$44.67	$57.54	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $169.82 / $363.08	Professional	TC	$125.89	$169.82	$363.08