Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $51.29 / $56.23	Facility	26	$42.66	$51.29	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $151.36	Professional		$57.54	$77.62	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $54.95	Professional	26	$25.70	$30.20	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $72.44	Professional	TC	$32.36	$43.65	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $141.25	Professional		$95.50	$109.65	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $42.66 / $53.70	Professional	26	$37.15	$42.66	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $66.07 / $85.11	Professional	TC	$57.54	$66.07	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $169.82	Professional		$63.10	$117.49	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $66.07	Professional	26	$28.18	$44.67	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $67.61 / $102.33	Professional	TC	$35.48	$67.61	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $162.18	Professional		$81.28	$104.71	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $39.81 / $64.57	Professional	26	$31.62	$39.81	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $64.57 / $97.72	Professional	TC	$51.29	$64.57	$97.72