Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.47 / $85.65 / $115.62	Facility	26	$67.47	$85.65	$115.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $243.20 / $328.00	Professional		$171.00	$243.20	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $71.95 / $98.00	Professional	26	$51.30	$71.95	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $157.55 / $227.00	Professional	TC	$119.70	$157.55	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $130.08 / $317.00	Professional		$118.35	$130.08	$317.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $50.96 / $73.05	Professional	26	$42.74	$50.96	$73.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $163.90 / $351.64	Professional		$108.77	$163.90	$351.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.87 / $119.00 / $140.41	Professional	26	$86.87	$119.00	$140.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.34 / $98.45 / $211.22	Professional	TC	$65.34	$98.45	$211.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $287.57 / $514.00	Professional		$139.08	$287.57	$514.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.41 / $81.93 / $177.74	Professional	26	$48.41	$81.93	$177.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.73 / $200.32 / $395.71	Professional	TC	$90.73	$200.32	$395.71
United Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $195.84 / $435.23	Professional		$145.62	$195.84	$435.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.72 / $62.44 / $87.42	Professional	26	$48.72	$62.44	$87.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.90 / $129.19 / $354.35	Professional	TC	$96.90	$129.19	$354.35