Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.55 / $67.09 / $90.59	Facility	26	$61.55	$67.09	$90.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $190.53 / $275.00	Professional		$165.62	$190.53	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $56.43 / $90.59	Professional	26	$44.14	$56.43	$90.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.22 / $120.06 / $220.00	Professional	TC	$105.22	$120.06	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $27.62 / $237.68	Professional		$27.62	$27.62	$237.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.26 / $57.25	Professional	26	$34.57	$43.26	$57.25
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 $109.86 / $245.00 / $425.07	Professional		$109.86	$245.00	$425.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $67.63 / $138.61	Professional	26	$37.88	$67.63	$138.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.84 / $171.50 / $326.99	Professional	TC	$70.84	$171.50	$326.99
United Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $167.20 / $364.73	Professional		$118.55	$167.20	$364.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $49.71 / $77.48	Professional	26	$39.46	$49.71	$77.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.12 / $110.08 / $296.10	Professional	TC	$81.12	$110.08	$296.10