Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.84 / $72.84 / $72.84	Facility	26	$72.84	$72.84	$72.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $185.88 / $275.00	Professional		$153.30	$185.88	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $61.30 / $98.00	Professional	26	$46.78	$61.30	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.00 / $119.70 / $220.00	Professional	TC	$92.00	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $94.31 / $101.03	Professional		$94.31	$94.31	$101.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.72 / $47.25 / $62.47	Professional	26	$37.72	$47.25	$62.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
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 $106.86 / $225.87 / $403.67	Professional		$106.86	$225.87	$403.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.39 / $68.97 / $152.09	Professional	26	$41.39	$68.97	$152.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.47 / $138.96 / $311.01	Professional	TC	$65.47	$138.96	$311.01
United Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $156.82 / $351.09	Professional		$110.71	$156.82	$351.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $53.45 / $77.36	Professional	26	$41.69	$53.45	$77.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.02 / $94.82 / $282.07	Professional	TC	$69.02	$94.82	$282.07