Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.14 / $38.46 / $51.92	Facility	26	$26.14	$38.46	$51.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $87.97 / $134.49	Professional		$74.34	$87.97	$134.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $26.98 / $40.38	Professional	26	$19.89	$26.98	$40.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.73 / $61.79 / $94.10	Professional	TC	$51.73	$61.79	$94.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $71.53 / $82.13	Professional		$71.53	$71.53	$82.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.92 / $31.46 / $34.65	Professional	26	$20.92	$31.46	$34.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $105.08 / $123.99	Professional		$76.70	$105.08	$123.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $40.00 / $47.20	Professional	26	$29.20	$40.00	$47.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.51 / $65.08 / $76.79	Professional	TC	$47.51	$65.08	$76.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.51 / $25.51 / $25.73	Facility	26	$25.51	$25.51	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $105.84 / $237.74	Professional		$75.39	$105.84	$237.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.98 / $29.36 / $70.62	Professional	26	$21.98	$29.36	$70.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $74.81 / $167.12	Professional	TC	$52.63	$74.81	$167.12
United Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $89.09 / $117.36	Professional		$65.77	$89.09	$117.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $29.15 / $36.82	Professional	26	$19.39	$29.15	$36.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.36 / $59.61 / $81.73	Professional	TC	$46.36	$59.61	$81.73