Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.03 / $164.09 / $221.52	Facility	26	$125.03	$164.09	$221.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.12 / $481.32 / $590.00	Professional		$281.12	$481.32	$590.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $164.09 / $189.02	Professional	26	$85.00	$164.09	$189.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $240.66 / $293.39	Professional	52	$137.50	$240.66	$293.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $335.00 / $397.75	Professional	TC	$206.25	$335.00	$397.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $238.95 / $372.48	Professional		$224.90	$238.95	$372.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.63 / $119.88 / $131.88	Professional	26	$79.63	$119.88	$131.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $126.23 / $126.23 / $126.23	Professional	TC	$126.23	$126.23	$126.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.98 / $386.54 / $829.30	Professional		$245.98	$386.54	$829.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.69 / $191.00 / $225.38	Professional	26	$138.69	$191.00	$225.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.48 / $282.04 / $605.10	Professional	TC	$179.48	$282.04	$605.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.86 / $550.00 / $1,260.08	Professional		$267.86	$550.00	$1,260.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.61 / $154.75 / $288.00	Professional	26	$87.61	$154.75	$288.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.12 / $385.00 / $1,060.89	Professional	TC	$177.12	$385.00	$1,060.89
United Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $370.64 / $1,192.39	Professional		$285.39	$370.64	$1,192.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.44 / $112.72 / $157.33	Professional	26	$89.44	$112.72	$157.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.08 / $253.35 / $985.16	Professional	TC	$195.08	$253.35	$985.16