Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $93.33	Facility	26	$79.43	$79.43	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $269.15	Professional		$104.71	$128.82	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $63.10 / $100.00	Professional	26	$52.48	$63.10	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $58.88 / $141.25	Professional	TC	$52.48	$58.88	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Professional		$128.82	$128.82	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $89.13	Professional	26	$67.61	$67.61	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $61.66 / $83.18	Professional	TC	$61.66	$61.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $263.03	Professional		$109.65	$181.97	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $109.65	Professional	26	$56.23	$83.18	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $144.54	Professional	TC	$52.48	$91.20	$144.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $263.03	Professional		$112.20	$162.18	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $109.65	Professional	26	$56.23	$72.44	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $151.36	Professional	TC	$53.70	$79.43	$151.36