Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $245.47	Professional		$87.10	$114.82	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $70.79 / $154.88	Professional	26	$52.48	$70.79	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $85.11	Professional	TC	$23.99	$41.69	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $239.88	Professional		$97.72	$123.03	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $109.65	Professional	26	$58.88	$74.13	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $141.25	Professional		$85.11	$120.23	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $83.18	Professional	26	$50.12	$69.18	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $50.12 / $58.88	Professional	TC	$34.67	$50.12	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $288.40	Professional		$100.00	$125.89	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $190.55	Professional	26	$60.26	$91.20	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.02 / $87.10	Professional	TC	$30.20	$38.02	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $134.90	Professional		$70.79	$95.50	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $63.10 / $91.20	Professional	26	$45.71	$63.10	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $31.62 / $47.86	Professional	TC	$25.70	$31.62	$47.86