Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.56 / $72.56 / $72.56	Facility	26	$72.56	$72.56	$72.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $137.88 / $191.59	Professional		$97.08	$137.88	$191.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.67 / $66.15 / $76.19	Professional	26	$48.67	$66.15	$76.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.40 / $65.31 / $125.43	Professional	TC	$48.40	$65.31	$125.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $92.11 / $92.11	Professional		$92.11	$92.11	$92.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $243.00 / $286.74	Professional		$170.10	$243.00	$286.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.60 / $128.00 / $151.04	Professional	26	$89.60	$128.00	$151.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.50 / $115.00 / $135.69	Professional	TC	$80.50	$115.00	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $156.77 / $330.30	Professional		$108.31	$156.77	$330.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $64.67 / $164.08	Professional	26	$53.23	$64.67	$164.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.42 / $69.26 / $178.82	Professional	TC	$47.42	$69.26	$178.82
United Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $118.63 / $215.70	Professional		$93.65	$118.63	$215.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.37 / $60.83 / $83.95	Professional	26	$47.37	$60.83	$83.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.05 / $58.62 / $135.33	Professional	TC	$45.05	$58.62	$135.33