Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $223.87	Professional		$83.18	$120.23	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $38.02 / $169.82	Professional	26	$21.88	$38.02	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $158.49	Professional	TC	$63.10	$87.10	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Professional		$54.95	$54.95	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $40.74 / $41.69	Professional	26	$14.13	$40.74	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $158.49	Professional		$75.86	$97.72	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $28.84 / $44.67	Professional	26	$18.62	$28.84	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $69.18 / $112.20	Professional	TC	$57.54	$69.18	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $363.08	Professional		$43.65	$61.66	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $100.00	Professional	26	$12.88	$17.38	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $263.03	Professional	TC	$30.90	$43.65	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $141.25	Professional		$69.18	$85.11	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $21.88 / $36.31	Professional	26	$18.62	$21.88	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $63.10 / $104.71	Professional	TC	$48.98	$63.10	$104.71