Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $76.25 / $551.66	Facility		$56.95	$76.25	$551.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $22.44 / $22.45	Facility	26	$16.57	$22.44	$22.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $69.98 / $102.33	Professional		$59.99	$69.98	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $18.18 / $24.10	Professional	26	$14.76	$18.18	$24.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.68 / $48.88 / $82.28	Professional	TC	$42.68	$48.88	$82.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $85.43	Professional		$75.83	$75.83	$85.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $17.39 / $17.39	Professional	26	$17.39	$17.39	$17.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $220.38 / $296.49	Facility		$181.60	$220.38	$296.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $142.38 / $168.01	Professional		$71.19	$142.38	$168.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.71 / $41.43 / $48.89	Professional	26	$20.71	$41.43	$48.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.48 / $100.95 / $119.12	Professional	TC	$50.48	$100.95	$119.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.22 / $276.50 / $541.78	Facility		$115.22	$276.50	$541.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $119.40 / $440.58	Professional		$61.23	$119.40	$440.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $19.57 / $68.18	Professional	26	$16.64	$19.57	$68.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.02 / $101.62 / $372.39	Professional	TC	$44.02	$101.62	$372.39
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $64.45 / $147.93	Professional		$47.50	$64.45	$147.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.40 / $18.34 / $26.93	Professional	26	$13.40	$18.34	$26.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.57 / $48.00 / $133.78	Professional	TC	$35.57	$48.00	$133.78