Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.56 / $63.32 / $63.32	Facility	26	$51.56	$63.32	$63.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $133.26 / $181.94	Professional		$102.98	$133.26	$181.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $46.67 / $66.48	Professional	26	$36.50	$46.67	$66.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.48 / $87.95 / $115.44	Professional	TC	$66.48	$87.95	$115.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $138.43 / $177.94	Professional		$97.06	$138.43	$177.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.02 / $52.19 / $77.87	Professional	26	$40.02	$52.19	$77.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.11 / $120.20 / $141.85	Professional	TC	$97.11	$120.20	$141.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $150.00 / $177.00	Professional		$109.50	$150.00	$177.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.43 / $55.38 / $65.34	Professional	26	$40.43	$55.38	$65.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.06 / $94.62 / $111.65	Professional	TC	$69.06	$94.62	$111.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.91 / $53.91 / $53.91	Facility	26	$53.91	$53.91	$53.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $150.69 / $380.86	Professional		$105.35	$150.69	$380.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $61.22 / $148.94	Professional	26	$38.11	$61.22	$148.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $106.55 / $265.30	Professional	TC	$71.45	$106.55	$265.30
United Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $130.30 / $186.70	Professional		$99.79	$130.30	$186.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $47.98 / $64.44	Professional	26	$38.17	$47.98	$64.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.66 / $81.42 / $121.92	Professional	TC	$65.66	$81.42	$121.92