Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.01 / $37.04 / $44.23	Facility	26	$34.01	$37.04	$44.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $119.00 / $219.82	Professional		$97.57	$119.00	$219.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $33.86 / $46.40	Professional	26	$22.95	$33.86	$46.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $84.46 / $178.18	Professional	TC	$73.93	$84.46	$178.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.60 / $42.16 / $43.87	Professional	26	$35.60	$42.16	$43.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $148.66 / $165.18	Professional		$112.32	$148.66	$165.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.93 / $39.61 / $44.02	Professional	26	$29.93	$39.61	$44.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.39 / $109.04 / $121.16	Professional	TC	$82.39	$109.04	$121.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $146.19 / $214.71	Professional		$104.49	$146.19	$214.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.33 / $37.79 / $51.92	Professional	26	$25.33	$37.79	$51.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.27 / $104.22 / $161.58	Professional	TC	$75.27	$104.22	$161.58
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $48.48 / $50.45	Professional	26	$40.94	$48.48	$50.45
United Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $126.01 / $223.99	Professional		$102.48	$126.01	$223.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.54 / $31.87 / $52.43	Professional	26	$25.54	$31.87	$52.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $99.92 / $188.83	Professional	TC	$75.31	$99.92	$188.83