Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.55 / $72.34 / $97.67	Facility	26	$61.55	$72.34	$97.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $194.65 / $275.00	Professional		$152.88	$194.65	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $60.88 / $97.67	Professional	26	$44.14	$60.88	$97.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $85.50 / $92.70 / $137.50	Professional	52	$85.50	$92.70	$137.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.00 / $119.70 / $220.00	Professional	TC	$92.00	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $100.17 / $123.74	Professional		$90.91	$100.17	$123.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $51.60 / $62.05	Professional	26	$37.46	$51.60	$62.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.88 / $95.88 / $95.88	Professional	TC	$95.88	$95.88	$95.88
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 $112.41 / $245.00 / $424.04	Professional		$112.41	$245.00	$424.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.11 / $67.17 / $151.07	Professional	26	$41.11	$67.17	$151.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.88 / $169.87 / $325.95	Professional	TC	$68.88	$169.87	$325.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $170.55 / $364.24	Professional		$120.45	$170.55	$364.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.36 / $56.94 / $77.48	Professional	26	$40.36	$56.94	$77.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.06 / $104.50 / $295.62	Professional	TC	$76.06	$104.50	$295.62