Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.48 / $106.95 / $144.38	Facility	26	$84.48	$106.95	$144.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $317.08 / $475.00	Professional		$275.00	$317.08	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $106.95 / $141.00	Professional	26	$68.75	$106.95	$141.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $144.35 / $212.50	Professional	52	$137.50	$144.35	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.74 / $205.23 / $340.00	Professional	TC	$181.74	$205.23	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $134.76 / $223.67	Professional		$126.53	$134.76	$223.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.48 / $77.39 / $102.96	Professional	26	$51.48	$77.39	$102.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $231.63 / $496.93	Professional		$153.72	$231.63	$496.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.44 / $160.88 / $189.84	Professional	26	$117.44	$160.88	$189.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.99 / $143.13 / $307.10	Professional	TC	$94.99	$143.13	$307.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $373.32 / $746.01	Professional		$158.19	$373.32	$746.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $102.37 / $207.38	Professional	26	$56.52	$102.37	$207.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $101.79 / $244.85 / $635.61	Professional	TC	$101.79	$244.85	$635.61
United Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $233.59 / $665.99	Professional		$165.38	$233.59	$665.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $73.09 / $108.62	Professional	26	$57.11	$73.09	$108.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.15 / $148.79 / $571.04	Professional	TC	$111.15	$148.79	$571.04