Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.45 / $69.45 / $93.75	Facility	26	$69.45	$69.45	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $429.76 / $534.74	Professional		$348.40	$429.76	$534.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.40 / $57.27 / $73.39	Professional	26	$50.40	$57.27	$73.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.49 / $373.62 / $466.86	Professional	TC	$300.49	$373.62	$466.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.15 / $403.24 / $513.16	Professional		$357.15	$403.24	$513.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.40 / $66.59 / $91.99	Professional	26	$53.40	$66.59	$91.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.43 / $417.03 / $492.10	Professional		$304.43	$417.03	$492.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $56.94 / $67.19	Professional	26	$41.57	$56.94	$67.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.87 / $360.09 / $424.91	Professional	TC	$262.87	$360.09	$424.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $406.91 / $1,408.84	Professional		$137.69	$406.91	$1,408.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.94 / $61.10 / $209.85	Professional	26	$51.94	$61.10	$209.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.18 / $352.46 / $1,198.99	Professional	TC	$159.18	$352.46	$1,198.99
United Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $366.35 / $515.29	Professional		$222.30	$366.35	$515.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.73 / $85.11	Professional	26	$41.69	$56.73	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.30 / $316.92 / $440.91	Professional	TC	$170.30	$316.92	$440.91