Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.19 / $92.79 / $125.28	Facility	26	$73.19	$92.79	$125.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $271.57 / $330.77	Professional		$171.00	$271.57	$330.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $78.02 / $98.00	Professional	26	$55.00	$78.02	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $174.13 / $227.00	Professional	TC	$119.70	$174.13	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $160.72 / $215.31	Professional		$130.00	$160.72	$215.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $65.87 / $119.49	Professional	26	$47.85	$65.87	$119.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $140.25 / $300.89	Professional		$93.08	$140.25	$300.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $102.00 / $120.36	Professional	26	$74.45	$102.00	$120.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.85 / $84.15 / $180.54	Professional	TC	$55.85	$84.15	$180.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $290.56 / $543.32	Professional		$155.55	$290.56	$543.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.47 / $83.64 / $169.04	Professional	26	$52.47	$83.64	$169.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.91 / $194.46 / $379.43	Professional	TC	$99.91	$194.46	$379.43
United Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $206.75 / $407.02	Professional		$154.28	$206.75	$407.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.06 / $68.02 / $98.11	Professional	26	$53.06	$68.02	$98.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.22 / $134.97 / $324.77	Professional	TC	$101.22	$134.97	$324.77