Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $1,000.00	Professional		$269.15	$371.54	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $199.53 / $724.44	Professional	26	$91.20	$199.53	$724.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $251.19 / $436.52	Professional	TC	$181.97	$251.19	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $169.82 / $177.83	Professional	26	$169.82	$169.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $602.56	Professional		$467.74	$512.86	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $204.17 / $239.88	Professional	26	$204.17	$204.17	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $309.03 / $363.08	Professional	TC	$281.84	$309.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $512.86	Professional		$165.96	$208.93	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $72.44 / $263.03	Professional	26	$66.07	$72.44	$263.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $138.04 / $281.84	Professional	TC	$112.20	$138.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $426.58	Professional		$194.98	$257.04	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $112.20 / $151.36	Professional	26	$87.10	$112.20	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $165.96 / $275.42	Professional	TC	$112.20	$165.96	$275.42