Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $190.55	Professional		$69.18	$93.33	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $47.86 / $104.71	Professional	26	$37.15	$47.86	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $39.81 / $75.86	Professional	TC	$19.95	$39.81	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $162.18	Professional		$75.86	$93.33	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $79.43	Professional	26	$42.66	$50.12	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $112.20	Professional		$66.07	$95.50	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $56.23	Professional	26	$33.88	$47.86	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $54.95	Professional	TC	$32.36	$46.77	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $218.78	Professional		$79.43	$95.50	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $128.82	Professional	26	$47.86	$64.57	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $83.18	Professional	TC	$26.92	$33.88	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $104.71	Professional		$54.95	$72.44	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $66.07	Professional	26	$30.90	$42.66	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.84 / $42.66	Professional	TC	$22.39	$28.84	$42.66