Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $251.19	Professional		$79.43	$120.23	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $79.43	Professional	26	$20.89	$28.18	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $158.49	Professional	TC	$66.07	$91.20	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $169.82	Professional		$93.33	$131.83	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $36.31 / $45.71	Professional	26	$25.12	$36.31	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $123.03	Professional	TC	$67.61	$95.50	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $275.42	Professional		$77.62	$123.03	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $36.31 / $74.13	Professional	26	$25.12	$36.31	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $223.87	Professional	TC	$67.61	$95.50	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $154.88	Professional		$83.18	$114.82	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $41.69	Professional	26	$22.39	$28.84	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $85.11 / $114.82	Professional	TC	$57.54	$85.11	$114.82