Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.34 / $56.67 / $76.50	Facility	26	$45.34	$56.67	$76.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $171.00 / $275.00	Professional		$121.55	$171.00	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $55.00 / $76.50	Professional	26	$36.46	$55.00	$76.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.87 / $119.70 / $220.00	Professional	TC	$73.87	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $75.58 / $195.15	Professional		$72.95	$75.58	$195.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $37.60 / $48.96	Professional	26	$29.56	$37.60	$48.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $121.55 / $260.77	Professional		$80.67	$121.55	$260.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.23 / $88.00 / $103.84	Professional	26	$64.23	$88.00	$103.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.55 / $73.15 / $156.94	Professional	TC	$48.55	$73.15	$156.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $184.69 / $340.64	Professional		$85.71	$184.69	$340.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.45 / $54.35 / $118.64	Professional	26	$32.45	$54.35	$118.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.26 / $116.98 / $252.65	Professional	TC	$53.26	$116.98	$252.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $118.01 / $282.00	Professional		$87.97	$118.01	$282.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.75 / $41.90 / $60.44	Professional	26	$32.75	$41.90	$60.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.74 / $73.62 / $229.14	Professional	TC	$53.74	$73.62	$229.14