Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.26 / $29.37 / $39.65	Facility	26	$16.26	$29.37	$39.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $133.56 / $153.49	Professional		$104.43	$133.56	$153.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $27.40 / $30.84	Professional	26	$16.12	$27.40	$30.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.56 / $112.39 / $122.64	Professional	TC	$83.56	$112.39	$122.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $25.02 / $30.05	Professional	26	$16.68	$25.02	$30.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $147.00 / $173.46	Professional		$107.31	$147.00	$173.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.18 / $29.02 / $34.24	Professional	26	$21.18	$29.02	$34.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.13 / $117.98 / $139.22	Professional	TC	$86.13	$117.98	$139.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $133.56 / $317.11	Professional		$94.66	$133.56	$317.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $24.04 / $60.99	Professional	26	$14.18	$24.04	$60.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.84 / $120.84 / $275.08	Professional	TC	$89.84	$120.84	$275.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $123.50 / $205.17	Professional		$98.53	$123.50	$205.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $21.98 / $31.32	Professional	26	$16.42	$21.98	$31.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.58 / $100.80 / $176.95	Professional	TC	$79.58	$100.80	$176.95