Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.95 / $67.97 / $91.75	Facility	26	$67.95	$67.97	$91.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $79.36 / $142.22	Professional		$66.62	$79.36	$142.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $42.58 / $67.97	Professional	26	$35.10	$42.58	$67.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $39.78 / $74.25	Professional	TC	$23.57	$39.78	$74.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $71.59 / $90.35	Professional		$68.19	$71.59	$90.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $35.10 / $44.29	Professional	26	$35.10	$35.10	$44.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $88.00 / $103.84	Professional		$62.23	$88.00	$103.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $43.00 / $53.10	Professional	26	$31.39	$43.00	$53.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.39 / $43.00 / $53.10	Professional	TC	$31.39	$43.00	$53.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $82.14 / $180.97	Professional		$64.16	$82.14	$180.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.24 / $55.44 / $123.65	Professional	26	$36.24	$55.44	$123.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $27.88 / $78.48	Professional	TC	$22.06	$27.88	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $65.93 / $93.77	Professional		$51.28	$65.93	$93.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.79 / $36.52 / $54.39	Professional	26	$27.79	$36.52	$54.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $27.85 / $37.88	Professional	TC	$20.99	$27.85	$37.88