Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.74 / $73.89 / $73.89	Facility	26	$54.74	$73.89	$73.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $123.88 / $156.03	Professional		$109.56	$123.88	$156.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.97 / $44.16 / $58.49	Professional	26	$36.97	$44.16	$58.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $79.83 / $98.23	Professional	TC	$69.45	$79.83	$98.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $81.08 / $81.08	Professional		$81.08	$81.08	$81.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.34 / $53.34 / $53.34	Professional	26	$53.34	$53.34	$53.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $123.40 / $145.61	Professional		$90.08	$123.40	$145.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $45.31 / $53.47	Professional	26	$33.08	$45.31	$53.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.01 / $78.09 / $92.15	Professional	TC	$57.01	$78.09	$92.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $186.14 / $564.36	Professional		$111.02	$186.14	$564.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $49.83 / $168.95	Professional	26	$41.66	$49.83	$168.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.18 / $121.35 / $395.41	Professional	TC	$61.18	$121.35	$395.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $120.00 / $202.74	Professional		$91.96	$120.00	$202.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $45.31 / $73.81	Professional	26	$34.51	$45.31	$73.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.07 / $74.69 / $111.63	Professional	TC	$56.07	$74.69	$111.63