Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.00 / $108.00 / $108.00	Facility	26	$65.00	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $403.18 / $475.00	Professional		$275.00	$403.18	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $108.00 / $140.00	Professional	26	$68.75	$108.00	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.25 / $284.83 / $340.00	Professional	TC	$206.25	$284.83	$340.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.00 / $52.00 / $65.14	Professional	26	$52.00	$52.00	$65.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $279.39 / $599.44	Professional		$185.42	$279.39	$599.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.28 / $136.00 / $160.47	Professional	26	$99.28	$136.00	$160.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.78 / $204.60 / $438.96	Professional	TC	$135.78	$204.60	$438.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.25 / $494.57 / $906.95	Professional		$207.25	$494.57	$906.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $84.08 / $192.60	Professional	26	$53.75	$84.08	$192.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.78 / $382.54 / $799.96	Professional	TC	$146.78	$382.54	$799.96
United Facility/Professional Professional Modifier Low / Median / High Price $215.08 / $304.42 / $744.01	Professional		$215.08	$304.42	$744.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $73.03 / $92.25	Professional	26	$46.12	$73.03	$92.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.96 / $202.46 / $672.56	Professional	TC	$161.96	$202.46	$672.56