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 $66.07 / $87.10 / $181.97	Professional		$66.07	$87.10	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $154.88	Professional	26	$37.15	$51.29	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $36.31 / $75.86	Professional	TC	$18.20	$36.31	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $181.97	Professional		$69.18	$97.72	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $77.62	Professional	26	$40.74	$50.12	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $107.15	Professional		$63.10	$91.20	$107.15
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 $29.51 / $42.66 / $50.12	Professional	TC	$29.51	$42.66	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $199.53	Professional		$74.13	$89.13	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $60.26 / $128.82	Professional	26	$40.74	$60.26	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $74.13	Professional	TC	$23.44	$30.20	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $100.00	Professional		$52.48	$69.18	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $61.66	Professional	26	$30.90	$42.66	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.30 / $38.90	Professional	TC	$20.42	$26.30	$38.90