Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $49.72 / $67.13	Facility	26	$39.94	$49.72	$67.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $82.68 / $113.21	Professional		$64.05	$82.68	$113.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.78 / $36.09 / $52.21	Professional	26	$28.78	$36.09	$52.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.27 / $49.35 / $61.00	Professional	TC	$35.27	$49.35	$61.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $86.39 / $101.41	Professional		$63.10	$86.39	$101.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.74 / $40.08 / $62.12	Professional	26	$26.74	$40.08	$62.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $55.52 / $68.64 / $76.42	Professional	TC	$55.52	$68.64	$76.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $84.07 / $99.20	Professional		$61.37	$84.07	$99.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $38.07 / $44.92	Professional	26	$27.79	$38.07	$44.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.58 / $46.00 / $54.28	Professional	TC	$33.58	$46.00	$54.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.75 / $41.75 / $41.75	Facility	26	$41.75	$41.75	$41.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $101.88 / $241.28	Professional		$66.15	$101.88	$241.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $47.58 / $117.00	Professional	26	$29.45	$47.58	$117.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $58.58 / $140.33	Professional	TC	$39.79	$58.58	$140.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $81.43 / $122.64	Professional		$64.55	$81.43	$122.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.06 / $50.88	Professional	26	$29.51	$37.06	$50.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.81 / $44.17 / $73.81	Professional	TC	$36.81	$44.17	$73.81