Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.59 / $101.94 / $137.61	Facility	26	$64.59	$101.94	$137.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $167.10 / $212.61	Professional		$97.49	$167.10	$212.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.88 / $62.61 / $107.03	Professional	26	$49.88	$62.61	$107.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $100.54 / $105.56	Professional	TC	$47.61	$100.54	$105.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $99.26 / $147.36	Professional		$88.97	$99.26	$147.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.52 / $58.43 / $73.73	Professional	26	$44.52	$58.43	$73.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $218.00 / $257.24	Professional		$159.13	$218.00	$257.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.56 / $139.13 / $164.17	Professional	26	$101.56	$139.13	$164.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.58 / $78.87 / $93.07	Professional	TC	$57.58	$78.87	$93.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.11 / $68.11 / $68.11	Facility	26	$68.11	$68.11	$68.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $174.27 / $481.91	Professional		$115.72	$174.27	$481.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.08 / $76.58 / $211.57	Professional	26	$57.08	$76.58	$211.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.64 / $97.68 / $270.32	Professional	TC	$58.64	$97.68	$270.32
United Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $143.31 / $211.50	Professional		$97.71	$143.31	$211.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.84 / $62.80 / $80.22	Professional	26	$45.84	$62.80	$80.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.61 / $69.52 / $138.65	Professional	TC	$50.61	$69.52	$138.65