Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $26.92 / $26.92	Facility	26	$18.62	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $204.17	Professional		$64.57	$123.03	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $28.18 / $72.44	Professional	26	$15.85	$28.18	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $77.62 / $154.88	Professional	TC	$48.98	$77.62	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $28.18 / $28.18	Professional	26	$25.70	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $120.23	Professional		$66.07	$95.50	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $26.30	Professional	26	$14.45	$20.42	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $74.13 / $95.50	Professional	TC	$52.48	$74.13	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $199.53	Professional		$69.18	$95.50	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $52.48	Professional	26	$18.62	$25.70	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $75.86 / $186.21	Professional	TC	$53.70	$75.86	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $120.23	Professional		$63.10	$87.10	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.42 / $30.20	Professional	26	$15.85	$20.42	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $67.61 / $91.20	Professional	TC	$45.71	$67.61	$91.20