Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.95 / $104.96 / $141.69	Facility	26	$104.95	$104.96	$141.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $425.00 / $522.50	Professional		$275.00	$425.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $104.96 / $141.00	Professional	26	$68.75	$104.96	$141.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $330.00 / $368.50	Professional	TC	$206.25	$330.00	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $349.59 / $349.59	Professional		$349.59	$349.59	$349.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.57 / $63.57 / $63.57	Professional	26	$63.57	$63.57	$63.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.85 / $269.50 / $578.20	Professional		$178.85	$269.50	$578.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.90 / $91.64 / $108.14	Professional	26	$66.90	$91.64	$108.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.40 / $219.10 / $470.06	Professional	TC	$145.40	$219.10	$470.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.36 / $484.71 / $1,010.35	Professional		$283.36	$484.71	$1,010.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $98.83 / $202.70	Professional	26	$55.71	$98.83	$202.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $224.63 / $381.76 / $805.94	Professional	TC	$224.63	$381.76	$805.94
United Facility/Professional Professional Modifier Low / Median / High Price $302.07 / $386.49 / $744.01	Professional		$302.07	$386.49	$744.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.30 / $72.06 / $99.08	Professional	26	$56.30	$72.06	$99.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.32 / $325.67 / $657.53	Professional	TC	$252.32	$325.67	$657.53