Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $660.69	Professional		$257.04	$331.13	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $213.80 / $512.86	Professional	26	$162.18	$213.80	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $173.78	Professional	TC	$93.33	$114.82	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Professional		$234.42	$275.42	$346.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $239.88 / $245.47	Professional	26	$158.49	$239.88	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $346.74	Professional		$204.17	$295.12	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $186.21 / $223.87	Professional	26	$131.83	$186.21	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $104.71 / $125.89	Professional	TC	$74.13	$104.71	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $208.93 / $295.12	Facility	26	$44.67	$208.93	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $218.78 / $389.05	Professional	26	$165.96	$218.78	$389.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $128.82 / $234.42	Professional	TC	$91.20	$128.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $478.63	Professional		$218.78	$309.03	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $194.98 / $302.00	Professional	26	$134.90	$194.98	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $181.97	Professional	TC	$81.28	$112.20	$181.97