Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.67 / $116.67 / $157.50	Facility	26	$116.67	$116.67	$157.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $311.31 / $332.88	Professional		$201.53	$311.31	$332.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $98.00 / $122.50	Professional	26	$55.00	$98.00	$122.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $200.36 / $238.57	Professional	TC	$119.70	$200.36	$238.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $211.62 / $211.62	Professional		$211.62	$211.62	$211.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $79.11 / $99.83	Professional	26	$60.27	$79.11	$99.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $277.12 / $594.54	Professional		$183.91	$277.12	$594.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.50 / $188.35 / $222.25	Professional	26	$137.50	$188.35	$222.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.16 / $173.53 / $372.29	Professional	TC	$115.16	$173.53	$372.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $322.20 / $673.24	Professional		$182.93	$322.20	$673.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $107.52 / $242.37	Professional	26	$62.08	$107.52	$242.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.91 / $213.23 / $430.87	Professional	TC	$116.91	$213.23	$430.87
United Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $240.34 / $404.64	Professional		$194.80	$240.34	$404.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $85.41 / $122.68	Professional	26	$66.59	$85.41	$122.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.44 / $164.21 / $285.76	Professional	TC	$126.44	$164.21	$285.76