Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $147.91	Professional		$41.69	$67.61	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $52.48 / $154.88	Professional	26	$33.88	$52.48	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.95 / $30.20	Professional	TC	$12.02	$19.95	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $162.18	Professional		$95.50	$134.90	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $93.33	Professional	26	$54.95	$79.43	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $57.54 / $67.61	Professional	TC	$39.81	$57.54	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $138.04	Professional		$60.26	$74.13	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $53.70 / $95.50	Professional	26	$45.71	$53.70	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.38 / $57.54	Professional	TC	$17.78	$21.38	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $87.10	Professional		$47.86	$66.07	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $63.10	Professional	26	$34.67	$46.77	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $18.62 / $25.12	Professional	TC	$13.49	$18.62	$25.12