Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $199.53	Professional		$67.61	$107.15	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $50.12 / $190.55	Professional	26	$16.98	$50.12	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $57.54 / $154.88	Professional	TC	$40.74	$57.54	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $63.10	Professional	26	$36.31	$50.12	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $223.87	Professional		$125.89	$173.78	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $74.13	Professional	26	$40.74	$57.54	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $117.49 / $147.91	Professional	TC	$81.28	$117.49	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $338.84	Professional		$72.44	$117.49	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $100.00	Professional	26	$16.98	$28.84	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $100.00 / $426.58	Professional	TC	$48.98	$100.00	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $436.52	Professional		$77.62	$112.20	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $39.81 / $57.54	Professional	26	$15.49	$39.81	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $63.10 / $380.19	Professional	TC	$45.71	$63.10	$380.19