Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.10 / $37.10 / $50.09	Facility	26	$37.10	$37.10	$50.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $74.87 / $101.07	Professional		$38.00	$74.87	$101.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $26.02 / $37.11	Professional	26	$18.93	$26.02	$37.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $37.77 / $75.81	Professional	TC	$19.93	$37.77	$75.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.72 / $109.39	Professional		$42.59	$45.72	$109.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.18 / $25.29 / $32.79	Professional	26	$20.18	$25.29	$32.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $109.30 / $128.97	Professional		$76.51	$109.30	$128.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $58.00 / $68.44	Professional	26	$40.60	$58.00	$68.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.90 / $51.30 / $60.53	Professional	TC	$35.90	$51.30	$60.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.81 / $32.81 / $32.81	Facility	26	$32.81	$32.81	$32.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $79.39 / $179.35	Professional		$46.69	$79.39	$179.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.94 / $33.31 / $79.91	Professional	26	$21.94	$33.31	$79.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $42.15 / $110.52	Professional	TC	$24.75	$42.15	$110.52
United Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $58.23 / $123.61	Professional		$44.93	$58.23	$123.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $27.65 / $38.57	Professional	26	$22.19	$27.65	$38.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $28.80 / $75.59	Professional	TC	$22.42	$28.80	$75.59