Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $117.71 / $152.18	Professional		$96.82	$117.71	$152.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $16.17 / $19.26	Professional	26	$11.42	$16.17	$19.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.41 / $102.22 / $134.00	Professional	TC	$85.41	$102.22	$134.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $171.16 / $171.16	Professional		$171.16	$171.16	$171.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $139.18 / $154.63	Professional		$105.16	$139.18	$154.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.54 / $21.89 / $24.32	Professional	26	$16.54	$21.89	$24.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.62 / $117.29 / $130.32	Professional	TC	$88.62	$117.29	$130.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $131.63 / $189.32	Professional		$75.01	$131.63	$189.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $22.17 / $28.91	Professional	26	$11.81	$22.17	$28.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.56 / $110.46 / $159.54	Professional	TC	$75.56	$110.46	$159.54
United Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $98.76 / $185.30	Professional		$73.89	$98.76	$185.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $14.68 / $28.76	Professional	26	$10.87	$14.68	$28.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.80 / $85.40 / $155.72	Professional	TC	$63.80	$85.40	$155.72