Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.31 / $98.23 / $132.62	Facility	26	$71.31	$98.23	$132.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $332.04 / $475.00	Professional		$250.00	$332.04	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.18 / $98.24 / $140.00	Professional	26	$67.18	$98.24	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $151.90 / $212.50	Professional	52	$137.50	$151.90	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.56 / $224.16 / $340.00	Professional	TC	$205.56	$224.16	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $237.80	Professional		$152.03	$152.03	$237.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $70.73 / $77.95	Professional	26	$47.07	$70.73	$77.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $268.29 / $268.29 / $268.29	Professional	50	$268.29	$268.29	$268.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $245.94 / $527.64	Professional		$163.21	$245.94	$527.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.38 / $147.10 / $173.58	Professional	26	$107.38	$147.10	$173.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.52 / $165.03 / $354.06	Professional	TC	$109.52	$165.03	$354.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $301.01 / $793.49	Professional		$162.84	$301.01	$793.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.66 / $83.02 / $190.94	Professional	26	$48.66	$83.02	$190.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $111.20 / $214.66 / $679.77	Professional	TC	$111.20	$214.66	$679.77
United Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $251.75 / $676.80	Professional		$178.96	$251.75	$676.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.35 / $66.61 / $91.83	Professional	26	$53.35	$66.61	$91.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.61 / $163.13 / $591.15	Professional	TC	$125.61	$163.13	$591.15