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 $164.81 / $189.61 / $275.00	Professional		$164.81	$189.61	$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 $103.68 / $119.70 / $220.00	Professional	TC	$103.68	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $98.07 / $236.48	Professional		$85.81	$98.07	$236.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.88 / $57.25	Professional	26	$34.57	$43.88	$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 $109.05 / $245.00 / $423.52	Professional		$109.05	$245.00	$423.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $66.50 / $138.61	Professional	26	$37.88	$66.50	$138.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.38 / $171.50 / $325.44	Professional	TC	$70.38	$171.50	$325.44
United Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $157.85 / $363.78	Professional		$121.16	$157.85	$363.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $49.24 / $77.48	Professional	26	$38.81	$49.24	$77.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.70 / $109.34 / $295.14	Professional	TC	$81.70	$109.34	$295.14