Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $38.90 / $38.90	Facility	26	$25.70	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $302.00	Professional		$72.44	$134.90	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $53.70 / $100.00	Professional	26	$25.70	$53.70	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $97.72 / $218.78	Professional	TC	$41.69	$97.72	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $23.44 / $38.90	Professional	26	$20.42	$23.44	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $117.49	Professional		$36.31	$97.72	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $36.31	Professional	26	$19.95	$28.18	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $70.79 / $83.18	Professional	TC	$25.70	$70.79	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $295.12	Professional		$87.10	$141.25	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $83.18	Professional	26	$26.30	$39.81	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $102.33 / $208.93	Professional	TC	$60.26	$102.33	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $138.04	Professional		$70.79	$100.00	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $41.69	Professional	26	$21.38	$28.18	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $70.79 / $102.33	Professional	TC	$50.12	$70.79	$102.33