Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.11 / $201.05 / $271.41	Facility	26	$190.11	$201.05	$271.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.92 / $703.70 / $974.12	Professional		$516.92	$703.70	$974.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.76 / $129.62 / $201.05	Professional	26	$103.76	$129.62	$201.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $258.47 / $316.20 / $487.06	Professional	52	$258.47	$316.20	$487.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $413.17 / $558.16 / $773.06	Professional	TC	$413.17	$558.16	$773.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $522.92 / $522.92 / $522.92	Professional		$522.92	$522.92	$522.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.82 / $117.41 / $156.55	Professional	26	$111.82	$117.41	$156.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.10 / $770.00 / $908.60	Professional		$562.10	$770.00	$908.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $155.85 / $234.68 / $276.92	Professional	26	$155.85	$234.68	$276.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $390.78 / $535.32 / $631.67	Professional	TC	$390.78	$535.32	$631.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.57 / $728.81 / $2,240.73	Professional		$552.57	$728.81	$2,240.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.77 / $170.13 / $464.60	Professional	26	$119.77	$170.13	$464.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $437.75 / $574.55 / $1,776.14	Professional	TC	$437.75	$574.55	$1,776.14
United Facility/Professional Professional Modifier Low / Median / High Price $454.22 / $588.91 / $1,099.80	Professional		$454.22	$588.91	$1,099.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.44 / $124.68 / $220.69	Professional	26	$90.44	$124.68	$220.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.78 / $467.72 / $882.18	Professional	TC	$363.78	$467.72	$882.18