Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.02 / $105.20 / $142.03	Facility	26	$89.02	$105.20	$142.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $412.07 / $496.69	Professional		$332.49	$412.07	$496.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.47 / $90.76 / $109.94	Professional	26	$75.47	$90.76	$109.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.87 / $327.10 / $391.48	Professional	TC	$265.87	$327.10	$391.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $389.52 / $389.52	Professional		$389.52	$389.52	$389.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $106.32 / $106.32 / $151.05	Professional	26	$106.32	$106.32	$151.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $393.62 / $474.41	Professional		$287.33	$393.62	$474.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $85.89 / $101.35	Professional	26	$62.70	$85.89	$101.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.64 / $307.73 / $378.30	Professional	TC	$224.64	$307.73	$378.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $479.54 / $1,446.69	Professional		$179.47	$479.54	$1,446.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.98 / $98.08 / $335.55	Professional	26	$79.98	$98.08	$335.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.63 / $390.43 / $1,111.13	Professional	TC	$188.63	$390.43	$1,111.13
United Facility/Professional Professional Modifier Low / Median / High Price $262.60 / $359.52 / $541.88	Professional		$262.60	$359.52	$541.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.90 / $85.89 / $128.37	Professional	26	$62.90	$85.89	$128.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.99 / $271.39 / $400.68	Professional	TC	$205.99	$271.39	$400.68