Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $72.44 / $72.44	Facility	26	$46.77	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $478.63	Professional		$120.23	$213.80	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $53.70 / $131.83	Professional	26	$45.71	$53.70	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $125.89 / $363.08	Professional	TC	$77.62	$125.89	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $204.17	Professional		$93.33	$109.65	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $75.86	Professional	26	$38.02	$47.86	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $95.50 / $467.74	Professional	TC	$30.20	$95.50	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $295.12	Professional		$91.20	$251.19	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $128.82	Professional	26	$70.79	$100.00	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $151.36 / $177.83	Professional	TC	$54.95	$151.36	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $436.52	Professional		$131.83	$245.47	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $74.13 / $144.54	Professional	26	$50.12	$74.13	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $295.12	Professional	TC	$91.20	$169.82	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $363.08	Professional		$120.23	$177.83	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $79.43	Professional	26	$41.69	$57.54	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $109.65 / $281.84	Professional	TC	$75.86	$109.65	$281.84