Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.71 / $54.71 / $73.84	Facility	26	$54.71	$54.71	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $104.63 / $148.06	Professional		$83.84	$104.63	$148.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $40.09 / $57.44	Professional	26	$31.61	$40.09	$57.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.23 / $65.40 / $90.62	Professional	TC	$52.23	$65.40	$90.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $112.27 / $127.80	Professional		$75.73	$112.27	$127.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.09 / $49.21 / $66.62	Professional	26	$37.09	$49.21	$66.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $76.22 / $94.39 / $110.51	Professional	TC	$76.22	$94.39	$110.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $108.11 / $127.57	Professional		$78.92	$108.11	$127.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $42.41 / $50.04	Professional	26	$30.96	$42.41	$50.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.96 / $65.70 / $77.53	Professional	TC	$47.96	$65.70	$77.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.98 / $45.98 / $45.98	Facility	26	$45.98	$45.98	$45.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $121.84 / $310.04	Professional		$85.18	$121.84	$310.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.72 / $52.60 / $129.57	Professional	26	$32.72	$52.60	$129.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $82.27 / $202.83	Professional	TC	$53.26	$82.27	$202.83
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $103.62 / $145.04	Professional		$80.59	$103.62	$145.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $41.43 / $55.28	Professional	26	$32.47	$41.43	$55.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.03 / $63.78 / $86.18	Professional	TC	$49.03	$63.78	$86.18