Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.40 / $80.41 / $108.55	Facility	26	$80.40	$80.41	$108.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $201.74 / $275.00	Professional		$158.44	$201.74	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.28 / $67.51 / $98.00	Professional	26	$51.28	$67.51	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.93 / $119.70 / $220.00	Professional	TC	$90.93	$119.70	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $103.61 / $249.16	Professional		$103.61	$103.61	$249.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.21 / $41.27 / $51.58	Professional	26	$41.21	$41.27	$51.58
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 $109.61 / $231.57 / $407.77	Professional		$109.61	$231.57	$407.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.17 / $73.50 / $153.00	Professional	26	$45.17	$73.50	$153.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $135.90 / $307.30	Professional	TC	$64.43	$135.90	$307.30
United Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $152.97 / $351.09	Professional		$113.69	$152.97	$351.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.15 / $58.59 / $84.25	Professional	26	$46.15	$58.59	$84.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.94 / $90.59 / $278.75	Professional	TC	$67.94	$90.59	$278.75