Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.47 / $52.35 / $60.88	Facility	26	$40.47	$52.35	$60.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $282.76 / $404.25	Professional		$223.55	$282.76	$404.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.73 / $38.67 / $67.45	Professional	26	$25.73	$38.67	$67.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $197.81 / $247.61 / $355.35	Professional	TC	$197.81	$247.61	$355.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.36 / $60.71 / $67.81	Professional	26	$58.36	$60.71	$67.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.80 / $405.83 / $520.29	Professional		$353.80	$405.83	$520.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.68 / $50.11 / $64.23	Professional	26	$43.68	$50.11	$64.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.11 / $355.72 / $456.05	Professional	TC	$310.11	$355.72	$456.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $384.64 / $581.50	Professional		$232.47	$384.64	$581.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $53.28 / $72.25	Professional	26	$37.52	$53.28	$72.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.63 / $340.30 / $509.71	Professional	TC	$186.63	$340.30	$509.71
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $67.11 / $70.81 / $77.98	Professional	26	$67.11	$70.81	$77.98
United Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $298.91 / $553.37	Professional		$205.75	$298.91	$553.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $43.43 / $71.23	Professional	26	$34.54	$43.43	$71.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.73 / $288.14 / $483.29	Professional	TC	$197.73	$288.14	$483.29