Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $186.21 / $186.21	Facility	26	$114.82	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,047.13	Professional		$371.54	$549.54	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $239.88 / $489.78	Professional	26	$112.20	$239.88	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $660.69	Professional	TC	$251.19	$371.54	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $141.25 / $173.78	Professional	26	$89.13	$141.25	$173.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $602.56 / $724.44	Professional		$223.87	$602.56	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $125.89 / $162.18	Professional	26	$87.10	$125.89	$162.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $478.63 / $575.44	Professional	TC	$177.83	$478.63	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,122.02	Professional		$380.19	$602.56	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $165.96 / $316.23	Professional	26	$120.23	$165.96	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $416.87 / $851.14	Professional	TC	$257.04	$416.87	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $912.01	Professional		$323.59	$467.74	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $125.89 / $199.53	Professional	26	$95.50	$125.89	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $316.23 / $724.44	Professional	TC	$223.87	$316.23	$724.44