Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $38.90 / $162.18	Facility	26	$26.30	$38.90	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $223.87	Professional		$69.18	$100.00	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.90 / $70.79	Professional	26	$20.89	$38.90	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $70.79 / $131.83	Professional	TC	$51.29	$70.79	$131.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $31.62 / $39.81	Professional	26	$25.12	$31.62	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $134.90	Professional		$74.13	$104.71	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $51.29	Professional	26	$28.18	$39.81	$51.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $64.57 / $83.18	Professional	TC	$45.71	$64.57	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $208.93	Professional		$66.07	$100.00	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.11 / $72.44	Professional	26	$21.38	$33.11	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $79.43 / $173.78	Professional	TC	$51.29	$79.43	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $120.23	Professional		$63.10	$89.13	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $28.84 / $37.15	Professional	26	$19.50	$28.84	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $60.26 / $83.18	Professional	TC	$44.67	$60.26	$83.18