Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $70.79	Facility		$34.67	$50.12	$70.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $40.74 / $40.74	Facility	TC	$34.67	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $120.23	Professional		$41.69	$61.66	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $31.62 / $194.98	Professional	26	$16.98	$31.62	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $169.82	Professional	TC	$23.99	$35.48	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $54.95 / $64.57	Professional	26	$50.12	$54.95	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $54.95	Professional	TC	$46.77	$46.77	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $169.82	Professional		$29.51	$36.31	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $97.72	Professional	26	$12.59	$18.20	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $18.62 / $70.79	Professional	TC	$15.85	$18.62	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $114.82	Professional		$38.02	$69.18	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.84 / $56.23	Professional	26	$16.60	$28.84	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.88 / $47.86	Professional	TC	$21.38	$33.88	$47.86