Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.25 / $88.65 / $98.64	Facility	26	$63.25	$88.65	$98.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $310.20 / $479.17	Professional		$192.75	$310.20	$479.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $80.79 / $101.23	Professional	26	$52.78	$80.79	$101.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.31 / $227.00 / $385.80	Professional	TC	$133.31	$227.00	$385.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $43.15 / $93.01	Professional	26	$31.70	$43.15	$93.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.35 / $288.99 / $321.10	Professional		$218.35	$288.99	$321.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $83.09 / $92.32	Professional	26	$62.78	$83.09	$92.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.57 / $205.90 / $228.78	Professional	TC	$155.57	$205.90	$228.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $340.29 / $520.36	Professional		$203.48	$340.29	$520.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.95 / $84.21 / $125.90	Professional	26	$55.95	$84.21	$125.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.52 / $240.70 / $395.00	Professional	TC	$147.52	$240.70	$395.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $106.96 / $109.11	Professional	26	$36.46	$106.96	$109.11
United Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $309.93 / $439.59	Professional		$182.02	$309.93	$439.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.53 / $87.42 / $112.39	Professional	26	$55.53	$87.42	$112.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $119.63 / $210.17 / $346.41	Professional	TC	$119.63	$210.17	$346.41