Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.34 / $72.34 / $97.67	Facility	26	$72.34	$72.34	$97.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $191.50 / $275.00	Professional		$134.40	$191.50	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $60.88 / $97.67	Professional	26	$46.10	$60.88	$97.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.29 / $119.15 / $220.00	Professional	TC	$88.29	$119.15	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $103.43 / $127.77	Professional		$94.10	$103.43	$127.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.46 / $43.27 / $60.88	Professional	26	$37.46	$43.27	$60.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $58.70 / $101.06	Professional	TC	$58.70	$58.70	$101.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $77.18 / $165.58	Professional		$51.22	$77.18	$165.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $51.38 / $60.63	Professional	26	$37.51	$51.38	$60.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $48.92 / $104.95	Professional	TC	$32.46	$48.92	$104.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $182.43 / $303.92	Professional		$110.48	$182.43	$303.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $63.96 / $104.35	Professional	26	$38.70	$63.96	$104.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.03 / $108.36 / $184.29	Professional	TC	$67.03	$108.36	$184.29
United Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $149.52 / $211.68	Professional		$114.38	$149.52	$211.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.88 / $52.44 / $75.14	Professional	26	$40.88	$52.44	$75.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.79 / $93.86 / $136.41	Professional	TC	$72.79	$93.86	$136.41