Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.60 / $109.61 / $147.97	Facility	26	$109.60	$109.61	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $107.53 / $189.49	Professional		$97.22	$107.53	$189.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $69.73 / $109.87	Professional	26	$57.00	$69.73	$109.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.87 / $42.81 / $79.88	Professional	TC	$31.87	$42.81	$79.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $97.15 / $138.78	Professional		$92.52	$97.15	$138.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.70 / $57.70 / $57.70	Professional	26	$57.70	$57.70	$57.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $119.47 / $140.97	Professional		$84.42	$119.47	$140.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.14 / $69.90 / $82.48	Professional	26	$50.14	$69.90	$82.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.70 / $49.57 / $58.49	Professional	TC	$34.70	$49.57	$58.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $126.68 / $281.14	Professional		$98.75	$126.68	$281.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.93 / $90.96 / $201.80	Professional	26	$58.93	$90.96	$201.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.58 / $36.26 / $84.65	Professional	TC	$29.58	$36.26	$84.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $93.30 / $132.55	Professional		$70.98	$93.30	$132.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.47 / $59.77 / $92.14	Professional	26	$45.47	$59.77	$92.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $31.71 / $42.69	Professional	TC	$25.52	$31.71	$42.69