Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.76 / $67.09 / $90.59	Facility	26	$57.76	$67.09	$90.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $217.56 / $303.22	Professional		$170.47	$217.56	$303.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $56.43 / $90.59	Professional	26	$43.82	$56.43	$90.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $147.09 / $220.00	Professional	TC	$119.70	$147.09	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $112.90 / $156.12	Professional		$112.90	$112.90	$156.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.57 / $43.26 / $57.25	Professional	26	$34.57	$43.26	$57.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $124.59 / $124.59 / $124.59	Professional	TC	$124.59	$124.59	$124.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $124.30 / $266.68	Professional		$82.49	$124.30	$266.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $108.03 / $127.48	Professional	26	$78.86	$108.03	$127.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.06 / $64.89 / $139.19	Professional	TC	$43.06	$64.89	$139.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $245.00 / $461.53	Professional		$128.55	$245.00	$461.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $65.64 / $138.61	Professional	26	$37.88	$65.64	$138.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.50 / $171.50 / $341.90	Professional	TC	$91.50	$171.50	$341.90
United Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $181.53 / $337.27	Professional		$136.15	$181.53	$337.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $49.24 / $73.28	Professional	26	$38.44	$49.24	$73.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.71 / $130.28 / $269.77	Professional	TC	$97.71	$130.28	$269.77