Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $229.09	Professional		$112.20	$134.90	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $47.86 / $120.23	Professional	26	$39.81	$47.86	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $85.11 / $138.04	Professional	TC	$72.44	$85.11	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $114.82	Professional		$81.28	$102.33	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $144.54	Professional		$87.10	$123.03	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $53.70	Professional	26	$31.62	$45.71	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $91.20	Professional	TC	$54.95	$77.62	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $70.79	Facility	26	$10.72	$50.12	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $489.78	Professional		$112.20	$190.55	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $97.72	Professional	26	$39.81	$50.12	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $131.83 / $281.84	Professional	TC	$61.66	$131.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $177.83	Professional		$91.20	$120.23	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $74.13	Professional	26	$33.11	$46.77	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $75.86 / $112.20	Professional	TC	$54.95	$75.86	$112.20