Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.89 / $77.59 / $104.74	Facility	26	$61.89	$77.59	$104.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $244.14 / $328.00	Professional		$171.00	$244.14	$328.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.07 / $65.31 / $98.00	Professional	26	$50.07	$65.31	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $162.66 / $227.00	Professional	TC	$119.70	$162.66	$227.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $113.47 / $113.47	Professional		$113.47	$113.47	$113.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.21 / $60.41 / $99.89	Professional	26	$40.21	$60.41	$99.89
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 $62.78 / $86.00 / $101.48	Professional	26	$62.78	$86.00	$101.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.10 / $77.00 / $165.20	Professional	TC	$51.10	$77.00	$165.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $279.08 / $495.27	Professional		$140.47	$279.08	$495.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.09 / $73.45 / $141.47	Professional	26	$44.09	$73.45	$141.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.74 / $205.62 / $391.91	Professional	TC	$93.74	$205.62	$391.91
United Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $207.77 / $400.44	Professional		$147.52	$207.77	$400.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $56.94 / $82.23	Professional	26	$44.39	$56.94	$82.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $105.87 / $137.50 / $331.35	Professional	TC	$105.87	$137.50	$331.35