Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.33 / $75.25 / $101.58	Facility	26	$69.33	$75.25	$101.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $212.28 / $320.92	Professional		$171.00	$212.28	$320.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $65.43 / $98.00	Professional	26	$51.30	$65.43	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $137.04 / $231.15	Professional	TC	$119.70	$137.04	$231.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $107.41 / $115.33	Professional		$107.41	$107.41	$115.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.20 / $58.91 / $64.94	Professional	26	$39.20	$58.91	$64.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $137.50 / $295.00	Professional		$91.25	$137.50	$295.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $100.00 / $118.00	Professional	26	$73.00	$100.00	$118.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.75 / $82.50 / $177.00	Professional	TC	$54.75	$82.50	$177.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $249.12 / $503.41	Professional		$119.40	$249.12	$503.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.27 / $74.38 / $155.91	Professional	26	$40.27	$74.38	$155.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.98 / $161.53 / $392.82	Professional	TC	$78.98	$161.53	$392.82
United Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $184.41 / $410.31	Professional		$127.22	$184.41	$410.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.53 / $55.53 / $87.42	Professional	26	$43.53	$55.53	$87.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.91 / $111.88 / $332.76	Professional	TC	$83.91	$111.88	$332.76