Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Facility	26	$35.48	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $263.03	Professional		$75.86	$114.82	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $40.74 / $83.18	Professional	26	$20.89	$40.74	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $79.43 / $173.78	Professional	TC	$53.70	$79.43	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $128.82	Professional		$75.86	$77.62	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $36.31	Professional	26	$19.50	$27.54	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $117.49	Professional		$74.13	$104.71	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $30.20	Professional	26	$19.95	$26.92	$30.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $77.62 / $87.10	Professional	TC	$54.95	$77.62	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $234.42	Professional		$75.86	$112.20	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $66.07	Professional	26	$25.12	$34.67	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $85.11 / $181.97	Professional	TC	$60.26	$85.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $151.36	Professional		$75.86	$104.71	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $40.74	Professional	26	$20.89	$26.92	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $77.62 / $107.15	Professional	TC	$57.54	$77.62	$107.15