Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $478.63	Professional		$229.09	$331.13	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $229.09	Professional	26	$53.70	$85.11	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $389.05	Professional	TC	$186.21	$269.15	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $91.20	Professional	26	$46.77	$83.18	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $616.60	Professional		$371.54	$524.81	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $138.04	Professional	26	$81.28	$117.49	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $407.38 / $478.63	Professional	TC	$288.40	$407.38	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,122.02	Professional		$338.84	$426.58	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $229.09	Professional	26	$69.18	$95.50	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $338.84 / $891.25	Professional	TC	$275.42	$338.84	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $549.54	Professional		$257.04	$346.74	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $123.03	Professional	26	$51.29	$69.18	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $281.84 / $426.58	Professional	TC	$204.17	$281.84	$426.58