Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.19 / $34.35 / $46.38	Facility	26	$28.19	$34.35	$46.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $114.27 / $172.88	Professional		$82.81	$114.27	$172.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $24.06 / $36.07	Professional	26	$20.04	$24.06	$36.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $92.11 / $136.79	Professional	TC	$59.92	$92.11	$136.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $23.13 / $30.53	Professional	26	$18.43	$23.13	$30.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $155.00 / $182.90	Professional		$113.15	$155.00	$182.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.05 / $57.60 / $67.97	Professional	26	$42.05	$57.60	$67.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.09 / $97.40 / $114.93	Professional	TC	$71.09	$97.40	$114.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.47 / $29.47 / $29.73	Facility	26	$29.47	$29.47	$29.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $119.43 / $255.62	Professional		$80.94	$119.43	$255.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $33.65 / $74.06	Professional	26	$20.27	$33.65	$74.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.70 / $95.03 / $240.16	Professional	TC	$63.70	$95.03	$240.16
United Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $118.71 / $146.11	Professional		$75.72	$118.71	$146.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $26.05 / $36.47	Professional	26	$20.30	$26.05	$36.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.67 / $91.45 / $117.86	Professional	TC	$53.67	$91.45	$117.86