Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.03 / $39.03 / $52.70	Facility	26	$39.03	$39.03	$52.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $136.80 / $275.00	Professional		$66.51	$136.80	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $39.04 / $55.00	Professional	26	$24.03	$39.04	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $97.76 / $220.00	Professional	TC	$42.50	$97.76	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $76.02 / $76.02	Professional		$76.02	$76.02	$76.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $20.56 / $49.44	Professional	26	$20.23	$20.56	$49.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $54.16 / $116.19	Professional		$35.95	$54.16	$116.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $28.43 / $33.54	Professional	26	$20.75	$28.43	$33.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.56 / $38.52 / $82.65	Professional	TC	$25.56	$38.52	$82.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $118.70 / $285.73	Professional		$74.39	$118.70	$285.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $35.40 / $79.47	Professional	26	$20.65	$35.40	$79.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.74 / $82.24 / $202.41	Professional	TC	$53.74	$82.24	$202.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $97.09 / $134.10	Professional		$74.52	$97.09	$134.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $28.43 / $40.72	Professional	26	$22.26	$28.43	$40.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.68 / $69.64 / $95.03	Professional	TC	$50.68	$69.64	$95.03