Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.28 / $53.29 / $71.94	Facility	26	$53.28	$53.29	$71.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $97.81 / $275.00	Professional		$80.98	$97.81	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $53.29 / $71.94	Professional	26	$34.07	$53.29	$71.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.19 / $49.65 / $220.00	Professional	TC	$40.19	$49.65	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $92.33 / $92.33	Professional		$92.33	$92.33	$92.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $41.45 / $45.65	Professional	26	$27.56	$41.45	$45.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $162.00 / $191.16	Professional		$113.15	$162.00	$191.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.66 / $42.00 / $49.56	Professional	26	$30.66	$42.00	$49.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.49 / $113.00 / $133.34	Professional	TC	$82.49	$113.00	$133.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $90.22 / $189.57	Professional		$55.10	$90.22	$189.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.22 / $49.71 / $92.22	Professional	26	$30.22	$49.71	$92.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $47.17 / $117.06	Professional	TC	$24.66	$47.17	$117.06
United Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $73.26 / $170.62	Professional		$53.48	$73.26	$170.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $39.09 / $55.94	Professional	26	$30.59	$39.09	$55.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $34.29 / $117.12	Professional	TC	$24.36	$34.29	$117.12