Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.54 / $108.55 / $146.54	Facility	26	$108.54	$108.55	$146.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $311.06 / $340.04	Professional		$171.00	$311.06	$340.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $81.73 / $113.97	Professional	26	$51.30	$81.73	$113.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $202.51 / $277.86	Professional	TC	$119.70	$202.51	$277.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $167.20 / $167.20	Professional		$167.20	$167.20	$167.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.01 / $70.12 / $84.14	Professional	26	$56.01	$70.12	$84.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $168.62 / $168.62 / $168.62	Professional	TC	$168.62	$168.62	$168.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $167.75 / $359.90	Professional		$111.33	$167.75	$359.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $106.32 / $125.46	Professional	26	$77.61	$106.32	$125.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.52 / $109.27 / $234.44	Professional	TC	$72.52	$109.27	$234.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $344.18 / $657.82	Professional		$186.53	$344.18	$657.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.64 / $92.89 / $196.78	Professional	26	$60.64	$92.89	$196.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $121.66 / $237.67 / $477.58	Professional	TC	$121.66	$237.67	$477.58
United Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $249.58 / $497.32	Professional		$186.50	$249.58	$497.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $80.01 / $102.66	Professional	26	$56.77	$80.01	$102.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.97 / $165.29 / $407.48	Professional	TC	$123.97	$165.29	$407.48