Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.13 / $51.13 / $69.02	Facility	26	$51.13	$51.13	$69.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $110.51 / $168.69	Professional		$92.11	$110.51	$168.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $35.95 / $53.68	Professional	26	$29.56	$35.95	$53.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.55 / $74.56 / $115.01	Professional	TC	$62.55	$74.56	$115.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $71.18 / $71.18	Professional		$71.18	$71.18	$71.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $42.17 / $46.44	Professional	26	$28.04	$42.17	$46.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $118.48 / $139.81	Professional		$86.49	$118.48	$139.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.03 / $39.77 / $46.93	Professional	26	$29.03	$39.77	$46.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.46 / $78.70 / $92.88	Professional	TC	$57.46	$78.70	$92.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.43 / $38.43 / $38.77	Facility	26	$38.43	$38.43	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $134.26 / $297.88	Professional		$95.15	$134.26	$297.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $43.82 / $93.85	Professional	26	$30.60	$43.82	$93.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $90.06 / $204.03	Professional	TC	$64.43	$90.06	$204.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $111.88 / $146.81	Professional		$83.74	$111.88	$146.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.05 / $39.77 / $49.80	Professional	26	$29.05	$39.77	$49.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.70 / $73.23 / $97.01	Professional	TC	$55.70	$73.23	$97.01