Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.66 / $153.43 / $207.14	Facility	26	$113.66	$153.43	$207.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.49 / $512.71 / $624.80	Professional		$297.49	$512.71	$624.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $153.44 / $176.90	Professional	26	$75.03	$153.44	$176.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $359.27 / $446.24	Professional	TC	$206.25	$359.27	$446.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $224.15 / $480.45	Professional		$224.15	$224.15	$480.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.73 / $93.75 / $123.78	Professional	26	$74.73	$93.75	$123.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $351.45 / $754.02	Professional		$233.24	$351.45	$754.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.16 / $192.00 / $226.56	Professional	26	$140.16	$192.00	$226.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $163.16 / $245.85 / $527.46	Professional	TC	$163.16	$245.85	$527.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.73 / $586.91 / $1,240.68	Professional		$285.73	$586.91	$1,240.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.20 / $144.78 / $291.00	Professional	26	$82.20	$144.78	$291.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.40 / $432.12 / $1,059.31	Professional	TC	$199.40	$432.12	$1,059.31
United Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $427.95 / $1,175.47	Professional		$302.64	$427.95	$1,175.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.02 / $105.24 / $146.44	Professional	26	$82.02	$105.24	$146.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.64 / $305.14 / $1,036.00	Professional	TC	$214.64	$305.14	$1,036.00