Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $46.77 / $95.50	Facility	26	$32.36	$46.77	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $309.03	Professional		$67.61	$107.15	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $63.10 / $151.36	Professional	26	$28.84	$63.10	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $181.97 / $416.87	Professional	50	$85.11	$181.97	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $72.44 / $165.96	Professional	TC	$52.48	$72.44	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $123.03	Professional		$72.44	$81.28	$123.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $36.31 / $72.44	Professional	26	$25.70	$36.31	$72.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $123.03 / $173.78	Professional	50	$87.10	$123.03	$173.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	TC	$57.54	$57.54	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $123.03	Professional		$72.44	$102.33	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $43.65	Professional	26	$25.70	$37.15	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $66.07 / $79.43	Professional	TC	$46.77	$66.07	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $257.04	Professional		$77.62	$125.89	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $95.50	Professional	26	$33.11	$46.77	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $83.18 / $181.97	Professional	TC	$61.66	$83.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $162.18	Professional		$79.43	$100.00	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $53.70	Professional	26	$28.18	$35.48	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $64.57 / $95.50	Professional	TC	$50.12	$64.57	$95.50