Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.28 / $39.65 / $44.53	Facility	26	$36.28	$39.65	$44.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $121.16 / $147.02	Professional		$90.73	$121.16	$147.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $35.67 / $62.75	Professional	26	$23.91	$35.67	$62.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.56 / $84.87 / $112.23	Professional	TC	$70.56	$84.87	$112.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $43.41 / $50.43	Professional	26	$43.41	$43.41	$50.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $151.16 / $167.95	Professional		$114.21	$151.16	$167.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.46 / $41.64 / $46.27	Professional	26	$31.46	$41.64	$46.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $109.51 / $121.68	Professional	TC	$82.74	$109.51	$121.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $143.52 / $218.94	Professional		$102.44	$143.52	$218.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.71 / $39.54 / $53.69	Professional	26	$26.71	$39.54	$53.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.20 / $101.73 / $159.28	Professional	TC	$72.20	$101.73	$159.28
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $49.92 / $51.93 / $57.99	Professional	26	$49.92	$51.93	$57.99
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $129.79 / $225.41	Professional		$96.43	$129.79	$225.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $32.32 / $54.58	Professional	26	$26.99	$32.32	$54.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $97.69 / $171.04	Professional	TC	$69.31	$97.69	$171.04