Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.09 / $44.32 / $59.84	Facility	26	$36.09	$44.32	$59.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.04 / $161.12	Professional		$91.20	$114.04	$161.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.67 / $46.54	Professional	26	$25.70	$32.67	$46.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.52 / $57.02 / $76.73	Professional	52	$39.52	$57.02	$76.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.50 / $83.59 / $114.57	Professional	TC	$65.50	$83.59	$114.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $112.51 / $149.62	Professional		$81.34	$112.51	$149.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $36.28 / $54.09	Professional	26	$24.15	$36.28	$54.09
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $21.90 / $21.90 / $52.97	Professional	52	$21.90	$21.90	$52.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $94.89 / $117.43 / $135.25	Professional	TC	$94.89	$117.43	$135.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $130.00 / $153.40	Professional		$94.90	$130.00	$153.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $38.72 / $45.69	Professional	26	$28.27	$38.72	$45.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.63 / $91.28 / $107.71	Professional	TC	$66.63	$91.28	$107.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $37.72 / $37.72	Facility	26	$37.72	$37.72	$37.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $128.61 / $332.71	Professional		$89.66	$128.61	$332.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.50 / $42.49 / $108.00	Professional	26	$26.50	$42.49	$108.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.25 / $101.27 / $242.79	Professional	TC	$66.25	$101.27	$242.79
United Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $113.32 / $153.16	Professional		$87.66	$113.32	$153.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $33.24 / $45.35	Professional	26	$26.53	$33.24	$45.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.36 / $79.81 / $108.60	Professional	TC	$60.36	$79.81	$108.60