Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.90 / $62.90 / $84.92	Facility	26	$51.90	$62.90	$84.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $117.46 / $158.85	Professional		$89.71	$117.46	$158.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $46.76 / $66.05	Professional	26	$36.50	$46.76	$66.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.21 / $74.87 / $92.79	Professional	TC	$53.21	$74.87	$92.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $120.95 / $163.07	Professional		$80.63	$120.95	$163.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.17 / $51.85 / $84.31	Professional	26	$35.17	$51.85	$84.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $77.70 / $96.23 / $113.25	Professional	TC	$77.70	$96.23	$113.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $115.82 / $136.66	Professional		$84.55	$115.82	$136.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $48.88 / $57.68	Professional	26	$35.68	$48.88	$57.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.87 / $66.94 / $78.98	Professional	TC	$48.87	$66.94	$78.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.27 / $54.27 / $54.27	Facility	26	$54.27	$54.27	$54.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $148.93 / $343.03	Professional		$92.16	$148.93	$343.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.86 / $60.83 / $147.58	Professional	26	$37.86	$60.83	$147.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.07 / $89.38 / $212.37	Professional	TC	$57.07	$89.38	$212.37
United Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $114.26 / $167.04	Professional		$91.25	$114.26	$167.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $47.33 / $64.44	Professional	26	$38.17	$47.33	$64.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.74 / $66.26 / $105.74	Professional	TC	$53.74	$66.26	$105.74