Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $63.10 / $63.10	Facility	26	$44.67	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $346.74	Professional		$112.20	$245.47	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $87.10 / $134.90	Professional	26	$39.81	$87.10	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $204.17	Professional	TC	$67.61	$100.00	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $181.97	Professional		$93.33	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $66.07	Professional	26	$34.67	$45.71	$66.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $77.62 / $114.82	Professional	TC	$66.07	$77.62	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $177.83	Professional		$107.15	$151.36	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $66.07	Professional	26	$40.74	$54.95	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $112.20	Professional	TC	$67.61	$95.50	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $338.84	Professional		$104.71	$162.18	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $131.83	Professional	26	$44.67	$63.10	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $112.20 / $239.88	Professional	TC	$79.43	$112.20	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $194.98	Professional		$104.71	$128.82	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $47.86 / $69.18	Professional	26	$38.02	$47.86	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $83.18 / $128.82	Professional	TC	$66.07	$83.18	$128.82