Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.26 / $123.89 / $123.89	Facility	26	$70.26	$123.89	$123.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $213.11 / $253.18	Professional		$128.75	$213.11	$253.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $86.40 / $130.08	Professional	26	$56.82	$86.40	$130.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.80 / $89.23 / $186.96	Professional	TC	$55.80	$89.23	$186.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $100.92 / $100.92	Professional	26	$100.92	$100.92	$100.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $357.63 / $422.00	Professional		$261.07	$357.63	$422.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.32 / $115.50 / $136.29	Professional	26	$84.32	$115.50	$136.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $176.75 / $242.13 / $285.70	Professional	TC	$176.75	$242.13	$285.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.45 / $73.45 / $74.09	Facility	26	$73.45	$73.45	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $227.66 / $520.90	Professional		$129.44	$227.66	$520.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.53 / $87.91 / $212.75	Professional	26	$61.53	$87.91	$212.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.60 / $152.51 / $409.66	Professional	TC	$55.60	$152.51	$409.66
United Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $169.37 / $509.94	Professional		$137.69	$169.37	$509.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $90.39 / $117.36	Professional	26	$56.11	$90.39	$117.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.36 / $78.56 / $430.98	Professional	TC	$60.36	$78.56	$430.98