Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.60 / $46.60 / $62.92	Facility	26	$46.60	$46.60	$62.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $98.70 / $139.12	Professional		$68.02	$98.70	$139.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $32.75 / $48.94	Professional	26	$23.40	$32.75	$48.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $66.03 / $90.18	Professional	TC	$45.47	$66.03	$90.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $117.43 / $117.43	Professional		$70.91	$117.43	$117.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.56 / $29.67 / $62.30	Professional	26	$25.56	$29.67	$62.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.08 / $114.37 / $237.28	Professional	50	$100.08	$114.37	$237.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $45.35 / $112.65	Professional	TC	$45.35	$45.35	$112.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $103.40 / $122.01	Professional		$75.48	$103.40	$122.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $36.77 / $43.39	Professional	26	$26.84	$36.77	$43.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.64 / $66.63 / $78.62	Professional	TC	$48.64	$66.63	$78.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $127.77 / $298.20	Professional		$80.59	$127.77	$298.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $46.35 / $107.33	Professional	26	$28.11	$46.35	$107.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.74 / $82.40 / $196.85	Professional	TC	$52.74	$82.40	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $99.55 / $147.50	Professional		$79.56	$99.55	$147.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.88 / $35.77 / $50.40	Professional	26	$27.88	$35.77	$50.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.94 / $63.78 / $94.47	Professional	TC	$50.94	$63.78	$94.47