Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $138.04 / $144.54	Facility	26	$97.72	$138.04	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $524.81	Professional		$213.80	$323.59	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $97.72 / $218.78	Professional	26	$54.95	$97.72	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $389.05	Professional	TC	$162.18	$218.78	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $144.54 / $245.47	Professional	26	$69.18	$144.54	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $501.19	Professional		$338.84	$389.05	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $112.20 / $141.25	Professional	26	$97.72	$112.20	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $275.42 / $354.81	Professional	TC	$239.88	$275.42	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $758.58	Professional		$316.23	$512.86	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $128.82 / $204.17	Professional	26	$87.10	$128.82	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $407.38 / $602.56	Professional	TC	$229.09	$407.38	$602.56
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $181.97 / $281.84	Professional	26	$162.18	$181.97	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $691.83	Professional		$316.23	$467.74	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $173.78	Professional	26	$83.18	$100.00	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $363.08 / $537.03	Professional	TC	$229.09	$363.08	$537.03