Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.30 / $86.14 / $116.28	Facility	26	$61.30	$86.14	$116.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $221.04 / $308.81	Professional		$171.00	$221.04	$308.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $72.38 / $98.00	Professional	26	$51.30	$72.38	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.24 / $130.59 / $220.00	Professional	TC	$101.24	$130.59	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $114.11 / $176.75	Professional		$114.11	$114.11	$176.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.58 / $55.85 / $73.84	Professional	26	$44.58	$55.85	$73.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $120.76 / $259.07	Professional		$80.14	$120.76	$259.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $88.00 / $103.84	Professional	26	$64.23	$88.00	$103.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.02 / $72.36 / $155.22	Professional	TC	$48.02	$72.36	$155.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $245.00 / $445.78	Professional		$126.89	$245.00	$445.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.95 / $77.51 / $156.88	Professional	26	$48.95	$77.51	$156.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $168.72 / $306.23	Professional	TC	$75.31	$168.72	$306.23
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $183.80 / $341.22	Professional		$128.66	$183.80	$341.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.26 / $63.13 / $90.76	Professional	26	$49.26	$63.13	$90.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.06 / $101.41 / $261.07	Professional	TC	$76.06	$101.41	$261.07