Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.78 / $48.78 / $48.78	Facility	26	$48.78	$48.78	$48.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $126.41 / $132.77	Professional		$86.71	$126.41	$132.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $43.84 / $48.78	Professional	26	$32.75	$43.84	$48.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.96 / $80.23 / $85.57	Professional	TC	$53.96	$80.23	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $50.69 / $50.69	Professional		$50.69	$50.69	$50.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $19.53 / $19.53	Professional	26	$19.53	$19.53	$19.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $170.25 / $200.90	Professional		$170.25	$170.25	$200.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.99 / $59.99 / $70.79	Professional	26	$59.99	$59.99	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $110.26 / $110.26 / $130.11	Professional	TC	$110.26	$110.26	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $77.38 / $167.44	Professional		$53.08	$77.38	$167.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $28.97 / $90.25	Professional	26	$20.19	$28.97	$90.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.88 / $48.42 / $103.87	Professional	TC	$32.88	$48.42	$103.87
United Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $111.18 / $148.05	Professional		$71.12	$111.18	$148.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $43.50 / $63.79	Professional	26	$27.08	$43.50	$63.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.04 / $65.40 / $84.26	Professional	TC	$44.04	$65.40	$84.26