Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.79 / $48.38 / $65.31	Facility	26	$38.79	$48.38	$65.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $88.95 / $125.73	Professional		$71.14	$88.95	$125.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.01 / $35.65 / $50.79	Professional	26	$28.01	$35.65	$50.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.13 / $56.82 / $74.93	Professional	TC	$43.13	$56.82	$74.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $95.12 / $128.41	Professional		$64.08	$95.12	$128.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $39.26 / $52.30	Professional	26	$26.63	$39.26	$52.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $62.86 / $77.83 / $91.26	Professional	TC	$62.86	$77.83	$91.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $91.10 / $107.50	Professional		$66.50	$91.10	$107.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.91 / $36.86 / $43.49	Professional	26	$26.91	$36.86	$43.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.60 / $54.24 / $64.00	Professional	TC	$39.60	$54.24	$64.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.57 / $40.57 / $40.57	Facility	26	$40.57	$40.57	$40.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $107.92 / $262.27	Professional		$72.20	$107.92	$262.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.78 / $46.35 / $112.61	Professional	26	$28.78	$46.35	$112.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.06 / $73.78 / $174.19	Professional	TC	$46.06	$73.78	$174.19
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $87.70 / $128.24	Professional		$73.08	$87.70	$128.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.69 / $36.34 / $49.29	Professional	26	$28.69	$36.34	$49.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.21 / $53.17 / $82.08	Professional	TC	$43.21	$53.17	$82.08