Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $56.23 / $56.23	Facility	26	$37.15	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $363.08	Professional		$104.71	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $43.65 / $102.33	Professional	26	$36.31	$43.65	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $288.40	Professional	TC	$64.57	$120.23	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $95.50	Professional		$38.02	$81.28	$95.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $44.67 / $63.10	Professional	26	$22.91	$44.67	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $263.03	Professional		$81.28	$218.78	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $112.20	Professional	26	$61.66	$87.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $131.83 / $158.49	Professional	TC	$48.98	$131.83	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $354.81	Professional		$104.71	$208.93	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $60.26 / $117.49	Professional	26	$38.90	$60.26	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $154.88 / $263.03	Professional	TC	$66.07	$154.88	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $281.84	Professional		$87.10	$128.82	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $42.66 / $63.10	Professional	26	$31.62	$42.66	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $218.78	Professional	TC	$54.95	$77.62	$218.78