Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $26.92 / $32.36	Facility	26	$25.70	$26.92	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $181.97	Professional		$64.57	$91.20	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $44.67	Professional	26	$15.14	$19.95	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $67.61 / $109.65	Professional	TC	$51.29	$67.61	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $31.62 / $38.02	Professional	26	$15.14	$31.62	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $120.23	Professional		$83.18	$93.33	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $23.99 / $30.90	Professional	26	$20.89	$23.99	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $70.79 / $91.20	Professional	TC	$61.66	$70.79	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $181.97	Professional		$79.43	$112.20	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.18 / $42.66	Professional	26	$19.05	$28.18	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $81.28 / $138.04	Professional	TC	$57.54	$81.28	$138.04
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $165.96	Professional		$75.86	$95.50	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.91 / $39.81	Professional	26	$18.62	$22.91	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $72.44 / $125.89	Professional	TC	$56.23	$72.44	$125.89