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 $148.79 / $189.61 / $275.00	Professional		$148.79	$189.61	$275.00
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 $104.82 / $119.70 / $220.00	Professional	TC	$104.82	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $152.46	Professional		$98.32	$98.32	$152.46
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 $73.00 / $110.00 / $236.00	Professional		$73.00	$110.00	$236.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.40 / $80.00 / $94.40	Professional	26	$58.40	$80.00	$94.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.80 / $66.00 / $141.60	Professional	TC	$43.80	$66.00	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $245.00 / $401.46	Professional		$109.32	$245.00	$401.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $65.64 / $123.00	Professional	26	$37.88	$65.64	$123.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.38 / $171.50 / $312.66	Professional	TC	$70.38	$171.50	$312.66
United Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $172.20 / $334.64	Professional		$125.88	$172.20	$334.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.44 / $49.24 / $72.76	Professional	26	$38.44	$49.24	$72.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $106.10 / $269.77	Professional	TC	$80.48	$106.10	$269.77