Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $165.96	Professional		$91.20	$117.49	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $19.95	Professional	26	$12.02	$14.13	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $102.33 / $144.54	Professional	TC	$77.62	$102.33	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $158.49	Professional		$107.15	$120.23	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	TC	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $213.80	Professional		$79.43	$107.15	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.79 / $22.39	Professional	26	$10.23	$14.79	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	TC	$64.57	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $125.89	Professional		$75.86	$97.72	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $17.38	Professional	26	$10.96	$13.18	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $83.18 / $109.65	Professional	TC	$63.10	$83.18	$109.65