Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $57.54 / $57.54	Facility	26	$39.81	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $323.59	Professional		$100.00	$141.25	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $57.54 / $97.72	Professional	26	$30.20	$57.54	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $186.21	Professional	TC	$72.44	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $60.26	Professional	26	$31.62	$44.67	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $181.97	Professional		$100.00	$144.54	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $66.07	Professional	26	$36.31	$52.48	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $91.20 / $117.49	Professional	TC	$64.57	$91.20	$117.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.90	Facility	26	$38.02	$38.02	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $302.00	Professional		$95.50	$141.25	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $104.71	Professional	26	$31.62	$47.86	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $112.20 / $245.47	Professional	TC	$70.79	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $173.78	Professional		$91.20	$128.82	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $42.66 / $54.95	Professional	26	$29.51	$42.66	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $85.11 / $114.82	Professional	TC	$61.66	$85.11	$114.82