Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.28 / $174.52 / $174.52	Facility	26	$129.28	$174.52	$174.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $198.43 / $239.86	Professional		$156.72	$198.43	$239.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.61 / $110.56 / $136.65	Professional	26	$93.61	$110.56	$136.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.56 / $79.14 / $99.91	Professional	TC	$65.56	$79.14	$99.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $182.87 / $215.04	Professional		$142.85	$182.87	$215.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.30 / $90.30 / $90.30	Professional	26	$90.30	$90.30	$90.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $187.37 / $221.10	Professional		$136.78	$187.37	$221.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.94 / $110.87 / $130.83	Professional	26	$80.94	$110.87	$130.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.85 / $76.50 / $90.27	Professional	TC	$55.85	$76.50	$90.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $209.80 / $675.12	Professional		$162.44	$209.80	$675.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.13 / $120.71 / $390.58	Professional	26	$97.13	$120.71	$390.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $86.66 / $284.56	Professional	TC	$64.31	$86.66	$284.56
United Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $181.49 / $304.20	Professional		$139.13	$181.49	$304.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.81 / $106.24 / $169.03	Professional	26	$77.81	$106.24	$169.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.12 / $76.01 / $118.52	Professional	TC	$59.12	$76.01	$118.52