Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Facility	26	$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $263.03	Professional		$138.04	$162.18	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $173.78	Professional	26	$72.44	$83.18	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $79.43 / $128.82	Professional	TC	$57.54	$79.43	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $87.10 / $107.15	Professional	26	$74.13	$87.10	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $251.19	Professional		$154.88	$169.82	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $173.78	Professional	26	$79.43	$107.15	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $77.62 / $104.71	Professional	TC	$33.11	$77.62	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $309.03	Professional		$125.89	$181.97	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $158.49	Professional	26	$85.11	$107.15	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $91.20 / $151.36	Professional	TC	$30.90	$91.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $263.03	Professional		$114.82	$162.18	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $144.54	Professional	26	$70.79	$87.10	$144.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $81.28 / $128.82	Professional	TC	$35.48	$81.28	$128.82