Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.29 / $35.29 / $35.29	Facility	26	$35.29	$35.29	$35.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $94.08 / $136.12	Professional		$70.11	$94.08	$136.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $24.73 / $35.29	Professional	26	$18.04	$24.73	$35.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.39 / $71.05 / $100.83	Professional	TC	$53.39	$71.05	$100.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $79.23 / $192.01	Professional		$73.52	$79.23	$192.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.77 / $28.52 / $28.52	Professional	26	$23.77	$28.52	$28.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $104.93 / $123.82	Professional		$76.59	$104.93	$123.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.73 / $27.03 / $31.90	Professional	26	$19.73	$27.03	$31.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.87 / $77.90 / $91.92	Professional	TC	$56.87	$77.90	$91.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $104.25 / $157.02	Professional		$75.95	$104.25	$157.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $33.79 / $51.08	Professional	26	$20.84	$33.79	$51.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.81 / $76.65 / $111.76	Professional	TC	$57.81	$76.65	$111.76
United Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $104.27 / $145.44	Professional		$81.09	$104.27	$145.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.11 / $26.74 / $37.84	Professional	26	$21.11	$26.74	$37.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.70 / $77.90 / $107.63	Professional	TC	$57.70	$77.90	$107.63