Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.09 / $67.09 / $90.59	Facility	26	$67.09	$67.09	$90.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $190.07 / $275.00	Professional		$165.62	$190.07	$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 $104.10 / $119.70 / $220.00	Professional	TC	$104.10	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $91.83 / $98.32	Professional		$91.83	$91.83	$98.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $51.91 / $69.14	Professional	26	$34.57	$51.91	$69.14
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 $104.13 / $226.35 / $429.91	Professional		$104.13	$226.35	$429.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $63.03 / $140.19	Professional	26	$35.71	$63.03	$140.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.25 / $163.32 / $341.36	Professional	TC	$66.25	$163.32	$341.36
United Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $171.57 / $364.24	Professional		$121.71	$171.57	$364.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.46 / $49.24 / $77.48	Professional	26	$39.46	$49.24	$77.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.81 / $110.08 / $295.62	Professional	TC	$80.81	$110.08	$295.62