Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $63.10 / $63.10	Facility	26	$43.65	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $436.52	Professional		$131.83	$181.97	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $128.82	Professional	26	$41.69	$63.10	$128.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $269.15	Professional	TC	$93.33	$120.23	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $141.25	Professional		$114.82	$125.89	$141.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $54.95 / $66.07	Professional	26	$42.66	$54.95	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $186.21	Professional		$109.65	$158.49	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $57.54	Professional	26	$34.67	$48.98	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $109.65 / $128.82	Professional	TC	$75.86	$109.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $338.84	Professional		$112.20	$190.55	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $120.23	Professional	26	$43.65	$61.66	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $138.04 / $269.15	Professional	TC	$104.71	$138.04	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $251.19	Professional		$128.82	$169.82	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $51.29 / $74.13	Professional	26	$38.02	$51.29	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $117.49 / $162.18	Professional	TC	$91.20	$117.49	$162.18