Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.25 / $62.26 / $62.26	Facility	26	$62.25	$62.26	$62.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $126.16 / $145.06	Professional		$77.61	$126.16	$145.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $41.84 / $65.37	Professional	26	$15.71	$41.84	$65.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.17 / $63.90 / $129.36	Professional	TC	$41.17	$63.90	$129.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.44 / $55.44 / $59.00	Professional	26	$55.44	$55.44	$59.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $185.20 / $218.54	Professional		$127.20	$185.20	$218.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.34 / $58.00 / $68.44	Professional	26	$42.34	$58.00	$68.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.86 / $116.24 / $137.16	Professional	TC	$84.86	$116.24	$137.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.30 / $20.30 / $20.47	Facility	26	$20.30	$20.30	$20.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $115.12 / $323.67	Professional		$72.93	$115.12	$323.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.70 / $27.43 / $66.88	Professional	26	$17.70	$27.43	$66.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $93.08 / $292.61	Professional	TC	$39.22	$93.08	$292.61
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $105.48 / $404.67	Professional		$80.09	$105.48	$404.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $39.84 / $57.28	Professional	26	$15.34	$39.84	$57.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $58.51 / $382.58	Professional	TC	$46.13	$58.51	$382.58