Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $37.15 / $37.15	Facility	26	$26.30	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $204.17	Professional		$46.77	$83.18	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $45.71 / $77.62	Professional	26	$21.88	$45.71	$77.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $66.07 / $114.82	Professional	52	$57.54	$66.07	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $131.83	Professional	TC	$23.99	$39.81	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $52.48	Professional		$43.65	$45.71	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $25.12 / $42.66	Professional	26	$9.55	$25.12	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $147.91	Professional		$64.57	$125.89	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $61.66 / $67.61	Professional	26	$22.91	$61.66	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $63.10 / $69.18	Professional	TC	$23.99	$63.10	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $177.83	Professional		$56.23	$93.33	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $70.79	Professional	26	$20.89	$33.11	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $60.26 / $114.82	Professional	TC	$29.51	$60.26	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $114.82	Professional		$58.88	$74.13	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $39.81	Professional	26	$20.89	$26.92	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $77.62	Professional	TC	$37.15	$47.86	$77.62