Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.65 / $85.65 / $115.62	Facility	26	$85.65	$85.65	$115.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $312.88 / $357.37	Professional		$201.94	$312.88	$357.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.86 / $71.95 / $98.00	Professional	26	$54.86	$71.95	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.81 / $229.98 / $292.82	Professional	TC	$146.81	$229.98	$292.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $161.56 / $173.82	Professional		$161.56	$161.56	$173.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $55.25 / $73.05	Professional	26	$44.10	$55.25	$73.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $159.59 / $342.38	Professional		$105.91	$159.59	$342.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.68 / $116.00 / $136.88	Professional	26	$84.68	$116.00	$136.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.57 / $95.79 / $205.50	Professional	TC	$63.57	$95.79	$205.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $300.00 / $630.40	Professional		$184.29	$300.00	$630.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $80.50 / $177.00	Professional	26	$48.41	$80.50	$177.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.88 / $222.56 / $471.85	Professional	TC	$135.88	$222.56	$471.85
United Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $251.18 / $452.17	Professional		$188.39	$251.18	$452.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.99 / $62.76 / $90.24	Professional	26	$48.99	$62.76	$90.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.40 / $185.86 / $374.58	Professional	TC	$139.40	$185.86	$374.58