Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.47 / $63.47 / $85.69	Facility	26	$63.47	$63.47	$85.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $411.62 / $432.20	Professional		$267.32	$411.62	$432.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $63.48 / $66.65	Professional	26	$43.47	$63.48	$66.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $348.14 / $365.54	Professional	TC	$223.84	$348.14	$365.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Professional	26	$34.86	$34.86	$34.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.16 / $368.80 / $405.68	Professional		$258.16	$368.80	$405.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $97.00 / $106.70	Professional	26	$67.90	$97.00	$106.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.26 / $271.80 / $298.98	Professional	TC	$190.26	$271.80	$298.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $478.88 / $1,878.78	Professional		$345.84	$478.88	$1,878.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $72.87 / $284.35	Professional	26	$51.27	$72.87	$284.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.57 / $392.79 / $1,594.41	Professional	TC	$294.57	$392.79	$1,594.41
United Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $321.38 / $583.17	Professional		$236.00	$321.38	$583.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $48.33 / $67.50	Professional	26	$34.92	$48.33	$67.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.81 / $268.98 / $345.82	Professional	TC	$192.81	$268.98	$345.82